Individual provider · Type 1 NPI
Chad Ronald Hickey, DC
Chiropractor · Lake Odessa, MI
NPI number
1457314619
Active
Practice location
7857 Velte Rd
Lake Odessa, MI 48849-9497
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 23001007497 (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 1457314619
Chad Ronald Hickey, DC's National Provider Identifier is 1457314619, issued on Apr 10, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lake Odessa, MI. The record was last updated on Oct 7, 2011.