Individual provider · Type 1 NPI

Nathan John Blackwell, DC

Chiropractor · Grosse Port Frm, MI

NPI number 1427768886 Active

Practice location

18720 Mack Ave Ste 120
Grosse Port Frm, MI 48236-2957

Fax (313) 886-4350

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2301401249 (MI)

Chiropractor: 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.

About NPI 1427768886

Nathan John Blackwell, DC's National Provider Identifier is 1427768886, issued on Nov 28, 2022. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Grosse Port Frm, MI. The record was last updated on Nov 28, 2022.