LAKE MICHIGAN CHIROPRACTIC PLLC NPI 1144504010

NPI Information

  • NPI: 1144504010
  • Provider Name: LAKE MICHIGAN CHIROPRACTIC, PLLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 4082 RED ARROW HWY.
    SAINT JOSEPH, MI
    ZIP 49085
  • Phone: (269) 408-8736

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NPI Details

LAKE MICHIGAN CHIROPRACTIC, PLLC is a chiropractor in Saint Joseph, 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. LAKE MICHIGAN CHIROPRACTIC, PLLC NPI is 1144504010. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4082 RED ARROW HWY.
SAINT JOSEPH, MI
ZIP 49085-431
Phone: (269) 408-8736
Fax: (269) 408-8790

The provider's authorized official is Kraig Alan Kirkdorfer .
The authorized official title is Doctor Of Chiropractic and has the following contact phone number (269) 408-8736.

The enumeration date for this NPI number is 10/10/2011 and was last updated on 10/10/2011.

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
1111N00000XChiropractorKK2301009038MICHIGANYes

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
10P29080MEDICARE UPINMICHIGAN

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: 11/21/2025

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