Provider Demographics
NPI:1548436249
Name:ALLEN R SCHLITTLER DC PC
Entity type:Organization
Organization Name:ALLEN R SCHLITTLER DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHLITTLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:517-546-5777
Mailing Address - Street 1:115 WEST CLINTON STREET
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-1565
Mailing Address - Country:US
Mailing Address - Phone:517-546-5777
Mailing Address - Fax:517-546-8676
Practice Address - Street 1:115 W CLINTON ST
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-1565
Practice Address - Country:US
Practice Address - Phone:517-546-5777
Practice Address - Fax:517-546-8676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAS005692111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI104368OtherCARE CHOICE HMO
MI950D711060OtherBLUE CROSS OF MICHIGAN
MI01338OtherAETNA
MIU31885OtherUPIN
MI950D711060OtherBLUE CROSS OF MICHIGAN