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AUSTIN LAKE CHIROPRACTIC INC. NPI 1255409645


NPI Information

NPI: 1255409645
Provider Name: AUSTIN LAKE CHIROPRACTIC INC.

Former Legal Business Name: AUSTIN LAKE CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
8827 PORTAGE RD
PORTAGE, MI
ZIP 49002
Phone: (269) 324-1449
Get Directions

AUSTIN LAKE CHIROPRACTIC INC. is a chiropractor in Portage, MI. The provider is 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 interrelationship with other body systems. AUSTIN LAKE CHIROPRACTIC INC. NPI is 1255409645. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Austin Lake Chiropractic.

The provider's business location address is:

8827 PORTAGE RD
PORTAGE, MI
ZIP 49002-415
Phone: (269) 324-1449
Fax: (269) 323-2970

The provider's authorized official is Milton Douglas Lynes .
The authorized official title is Ceo and has the following contact phone number (269) 324-1449.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 10/28/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesMICHIGANNo
2111N00000XChiropractor2301007246MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16424410001MEDICARE NSCMICHIGAN
2U60913MEDICARE UPINMICHIGAN
30M24860MEDICARE ID-TYPE UNSPECIFIEDMICHIGANM. DOUGLAS LYNES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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