Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2301010925 | MI |
NPI | 1003440983 |
---|---|
Provider Name | Dr. Arpa Modi |
First Address | Saginaw, MI 48638-6269 |
Second Address | Saginaw, MI 48638-6269 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2020 |
Last Update Date | 28/02/2020 |