Charles Michael Lietz in Grandville - Chiropractor
Charles Michael Lietz - NPI 1568682201
Charles Michael Lietz is a Chiropractor in Grandville, Michigan. Charles Michael Lietz practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Charles Michael Lietz is 1568682201. The last update date is 2007-07-08.
Charles Michael Lietz's current location address is 3584 Fairlanes Ave Sw, Grandville, Michigan. You can contact this provider via phone number 6165303333 and fax number 6165308320. The mailing address for Charles Michael Lietz is 3584 Fairlanes Ave Sw, Grandville, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Michael Lietz |
|---|---|
| Address | 3584 Fairlanes Ave Sw, Grandville, Michigan |
| Phone Number | 6165303333 |
| Fax Number | 6165308320 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1568682201 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3584 Fairlanes Ave Sw |
|---|---|
| City | Grandville |
| State | Michigan (MI) |
| Post Code | 494181583 |
| Phone Number | 6165303333 |
| Fax Number | 6165308320 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | L761039 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Post Comment/ Review Below
What is the Charles Michael Lietz's 1568682201?
The Charles Michael Lietz's NPI (National Provider Identifier) Number is 1568682201. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Charles Michael Lietz?
The Charles Michael Lietz is situated at 3584 Fairlanes Ave Sw, in the city of Grandville, state of MI, with the zip code 494181583.
What is the area of specialization for Charles Michael Lietz, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Charles Michael Lietz is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1568682201 to Charles Michael Lietz?
The Centers for Medicare & Medicaid Services assigned the 1568682201 to Charles Michael Lietz on 2007-04-26.
When was the information pertaining to Charles Michael Lietz most recently updated or revised?
The details related to Charles Michael Lietz, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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