Provider Demographics
NPI:1174719355
Name:NEROS CHIROPRACTIC CENTER
Entity type:Organization
Organization Name:NEROS CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEROS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:517-974-1121
Mailing Address - Street 1:PO BOX 919
Mailing Address - Street 2:
Mailing Address - City:OKEMOS
Mailing Address - State:MI
Mailing Address - Zip Code:48805
Mailing Address - Country:US
Mailing Address - Phone:517-974-1121
Mailing Address - Fax:
Practice Address - Street 1:1914 E MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-2829
Practice Address - Country:US
Practice Address - Phone:517-974-1121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008885111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty