Individual provider · Type 1 NPI

Michael Jude De Forrest, DC

Chiropractor · Auburn, NY

NPI number 1497836795 Active

Practice location

105 N Fulton St
Auburn, NY 13021

Fax (315) 258-0017

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XX0020751 (NY)

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.

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About NPI 1497836795

Michael Jude De Forrest, DC's National Provider Identifier is 1497836795, issued on Oct 17, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Auburn, NY. The record was last updated on Jul 8, 2007.