JEFFREY E. FANTICH, DC, PLC - NPI 1205001807 - Chiropractor in West Bloomfield, MI

Q: What is Jeffrey E. Fantich, Dc, Plc's NPI number?

The NPI number for Jeffrey E. Fantich, Dc, Plc is 1205001807. It was assigned to this organization in the NPPES registry on April 24, 2008.

Q: What is Jeffrey E. Fantich, Dc, Plc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

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About Jeffrey E. Fantich, Dc, Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY E. FANTICH, DC, PLC (NPI 1205001807) is a healthcare organization registered as a chiropractor in West Bloomfield, Michigan and active in the NPI registry since April 2008. The organization lists Jeffrey Edward Fantich, Owner, as its authorized official.

NPPES Registry Identity

NPI1205001807

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameJEFFREY E. FANTICH, DC, PLC

Location Address6022 W MAPLE RD, SUITE 405West Bloomfield, MI 48322-4408

Mailing Address6022 W Maple Rd, Suite 405West Bloomfield, MI 48322-4408 · (248) 737-8066 · Fax (248) 737-9093

Phone(248) 737-8066

Fax(248) 737-9093

Organization SubpartNo

Authorized OfficialJeffrey Edward FantichOwner · (248) 737-8066

Enumeration DateApril 24, 2008

Last NPPES UpdateApril 24, 2012

✔ NPI 1205001807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MI · 2301006930

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

6022 W MAPLE RD, West Bloomfield, MI 48322

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Other Identifiers 3

Medicare PIN0F35177MI

Other0F35177MI · Blue Cross

Medicare UPINU25870MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BARRY JAY PH.D.

Psychologist (Clinical)

6022 W MAPLE RD, SUITE 414
WEST BLOOMFIELD, MI 48322

Oakland County (248) 626-8889

BARRY JAY, PH.D., P.L.L.C.

Community/Behavioral Health

6022 W MAPLE RD, STE 414
WEST BLOOMFIELD, MI 48322

Oakland County (248) 626-8889

MRS. JENNIFER LEE PILLOW-WHITE N.C.T.M.

Massage Therapist

6022 W MAPLE RD, SUITE 405
WEST BLOOMFIELD, MI 48322

Oakland County (248) 737-8066

A&S DENTAL

Dentist

6022 W MAPLE RD, SUITE 415
WEST BLOOMFIELD, MI 48322

Oakland County (248) 565-4666

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey E. Fantich, Dc, Plc's NPI number?

The NPI number for Jeffrey E. Fantich, Dc, Plc is 1205001807. It was assigned to this organization in the NPPES registry on April 24, 2008.

Where is Jeffrey E. Fantich, Dc, Plc located?

Jeffrey E. Fantich, Dc, Plc is located at 6022 W Maple Rd Suite 405, West Bloomfield, MI 48322. The listed phone number is (248) 737-8066.

What is Jeffrey E. Fantich, Dc, Plc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Jeffrey E. Fantich, Dc, Plc was last updated on April 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.