Dr. Ernest Richard Centofanti
Chiropractic Sports Physician
3078 Main St
Marlette
, Michigan 48453-0245
Dr. Ernest Richard Centofanti
Chiropractic Sports Physician
3078 Main St
Marlette
, Michigan 48453-0245
(989) 635-3828
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Ernest Richard Centofanti
- 3078 Main St Po Box 245
- Marlette, MI
- Zip : 48453-1292
- Fax : (989) 635-3828
- Phone : (989) 635-3828
Second Address
- Dr. Ernest Richard Centofanti
- 3078 Main St
- Marlette, MI
- Zip : 48453-0245
- Fax : (989) 635-3828
- Phone : (989) 635-3828
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 005491 | MI |
National Provider Identifier
| NPI | 1073542858 |
|---|---|
| Provider Name | Dr. Ernest Richard Centofanti |
| First Address | Marlette, MI 48453-1292 |
| Second Address | Marlette, MI 48453-0245 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2582862 | (05) | MI |
| 950G65244 | BLUE CROSS (01) | MI |
| T97019 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.