SHALLOW CHIROPRACTIC PC
Chiropractic at Michigan Ave, Dearborn, MI

License number
Michigan 2301004116
Category
Chiropractic
Type
Chiropractor
Owner
Name: MR. RANDY JOE SHALLOW DC
Title: PRESIDENT/DIRECTOR
Phone: (313) 277-3766
Address
Address
24820 Michigan Ave, Dearborn, MI 48124
National Provider ID: 1710988068
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SHALLOW CHIROPRACTIC, PC

24820 Michigan Ave, Dearborn, MI 48124

Industry:
Chiropractor's Office
Doing business as:
Shallow Chiropractic - Randy Shallow DC
Registration:
Dec 18, 1990
Phone:
(313) 277-3766 (Phone), (313) 277-7196 (Fax)
State ID:
486015
Business type:
Domestic Professional Service Corporation
Managers:
Randy Shallow (President, Chiropractic, Director),Laura Martinez (Principal),Cindy Covac (Manager)
Categories:
Chiropractors

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