| Icare Spine & Rehabilitation Center | |
|
18984 Livernois Ave, Detroit, MI 48221-4210 | |
| (313) 397-1930 | |
| (313) 397-1977 |
| Full Name | Icare Spine & Rehabilitation Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Rehabilitation |
| Location | 18984 Livernois Ave, Detroit, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083018980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | 230100894 (Michigan) | Primary |
| Provider Name | Peter N Andersen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669489282 PECOS PAC ID: 4082601349 Enrollment ID: I20040501000301 |
| Provider Name | Cecil I Forbes |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1255350187 PECOS PAC ID: 3274530811 Enrollment ID: I20061025000026 |
| Mailing Address | Practice Location Address |
|---|---|
| Icare Spine & Rehabilitation Center 18984 Livernois Ave, Detroit, MI 48221-4210 Ph: (313) 397-1930 | Icare Spine & Rehabilitation Center 18984 Livernois Ave, Detroit, MI 48221-4210 Ph: (313) 397-1930 |
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