Jeffrey E Fantich (NPI# 1386784692, PAC ID# 8123050929) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1386784692 |
| PAC ID by PECOS | 8123050929 |
| Professional Enrollment ID | I20100611000045 |
| Full Name | Jeffrey E Fantich |
| Address |
5829 W Maple Rd Suite 123 West Bloomfield MI 48322-2294 |
| Gender | M |
| Medical School | NATIONAL COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1989 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230130 | BEAUMONT HOSPITAL, ROYAL OAK |
| Address | Phone | Organization |
|---|---|---|
| 5829 W Maple Rd, Suite 123, West Bloomfield, MI 48322-2294 |
| Street Address |
5829 W MAPLE RD SUITE 123 |
| City | WEST BLOOMFIELD |
| State | MI |
| Zip | 48322-2294 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harshini Avula | Podiatry | 5829 W Maple Rd, Ste115, W Bloomfield, MI 48322-2294 | |
| Kenneth B Large | Chiropractic | Chiropractic and Integrative Health Specialists, P.l.l.c. | 5829 W Maple Rd, West Bloomfield, MI 48322-2294 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Muhammad Nasir Rana | Physical Therapy | 5099 Patrick Rd, West Bloomfield, MI 48322-1546 | |
| Basel Assaad | Neurology | 5635 Old Carriage Ln, West Bloomfield, MI 48322-1653 | |
| Sally J Rosenberg | Psychiatry | 3150 Gilbert Ridge Dr, West Bloomfield, MI 48322-1833 | |
| James B Bragman | Internal Medicine | 6014 W Maple Rd, West Bloomfield, MI 48322-2212 | |
| Bejoice Thomas | Physical Therapy | 6014 W Maple Rd, West Bloomfield, MI 48322-2212 | |
| Laurie Katz | Internal Medicine | Infinity Primary Care, LLC | 5777 W Maple Rd, Suite 140, West Bloomfield, MI 48322-2268 |
| Christine Roe | Nurse Practitioner | Infinity Primary Care, LLC | 5777 W Maple Rd, Suite 140, West Bloomfield, MI 48322-2268 |
| Amy Goldfaden | Internal Medicine | Infinity Primary Care, LLC | 5777 W Maple Rd, Suite 140, West Bloomfield, MI 48322-2268 |
| Tassia M Samona | Internal Medicine | Infinity Primary Care, LLC | 5777 W Maple Rd, Suite 140, West Bloomfield, MI 48322-2268 |
| Brian D Adelman | Obstetrics/gynecology | Moca Group PC | 5777 W Maple Rd, Suite 200, West Bloomfield, MI 48322-2271 |
| Find all physicians in zip 48322 | |||
| City | WEST BLOOMFIELD |
| Zip Code | 48322 |
| Specialty | CHIROPRACTIC |
| City + Specialty | WEST BLOOMFIELD + CHIROPRACTIC |
Please comment or provide details below to improve the information on Jeffrey E Fantich.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.