Grass Lake Chiropractic Center, Pllc in Grass Lake - Chiropractor

Grass Lake Chiropractic Center, Pllc - NPI 1629233150

Grass Lake Chiropractic Center, Pllc is a Chiropractor in Grass Lake, Michigan. Grass Lake Chiropractic Center, Pllc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Grass Lake Chiropractic Center, Pllc is 1629233150. The last update date is 2008-10-20.

Grass Lake Chiropractic Center, Pllc's current location address is Po Box 141, Grass Lake, Michigan. You can contact this provider via phone number 5175228315 and fax number 5175225493. The mailing address for Grass Lake Chiropractic Center, Pllc is Po Box 141, Grass Lake, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Grass Lake Chiropractic Center, Pllc
Address Po Box 141, Grass Lake, Michigan
Phone Number 5175228315
Fax Number 5175225493
Sole Proprietor --
Credentials --

Authorized Official

Title or Position D.C
Authorized Official Name Mikel Nelson Daniel
Credentials D.C.
Telephone Number 5175228315

NPI Number Detail

NPI Number 1629233150
Provider Enumeration Date 2008-07-24
Last Updated Date 2008-10-20

Provider Mailing Address Detail

Address Po Box 141
City Grass Lake
State Michigan (MI)
Post Code 492400141
Phone Number 5175228315
Fax Number 5175225493

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 2301009352
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
950C812990 MI BLUE CROSS BLUE SHIELD

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FAQs about Grass Lake Chiropractic Center, Pllc

What is the unique identifier code issued to Grass Lake Chiropractic Center, Pllc by the Centers for Medicare & Medicaid Services?

The Grass Lake Chiropractic Center, Pllc has been assigned the NPI (National Provider Identifier) 1629233150. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Grass Lake Chiropractic Center, Pllc located?

The Grass Lake Chiropractic Center, Pllc is located at Po Box 141, Grass Lake, MI 492400141.

What is Grass Lake Chiropractic Center, Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Grass Lake Chiropractic Center, Pllc's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.

When did the Grass Lake Chiropractic Center, Pllc receive its 1629233150?

The Grass Lake Chiropractic Center, Pllc was issued its 1629233150 on 2008-07-24, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Grass Lake Chiropractic Center, Pllc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Grass Lake Chiropractic Center, Pllc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-10-20.

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