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GREAT LAKES CHIROPRACTIC HEALTH NPI 1508116088


NPI Information

NPI: 1508116088
Provider Name: GREAT LAKES CHIROPRACTIC HEALTH

Doing Business As: GREAT LAKES HEALTH & WELLNESS OF GRAND HAVEN

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
15 S. SEVENTH ST.
GRAND HAVEN, MI
ZIP 49417
Phone: (616) 842-9411
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GREAT LAKES CHIROPRACTIC HEALTH is a chiropractor in Grand Haven, 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. GREAT LAKES CHIROPRACTIC HEALTH NPI is 1508116088. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Great Lakes Health & Wellness Of Grand Haven.

The provider's business location address is:

15 S. SEVENTH ST.
GRAND HAVEN, MI
ZIP 49417
Phone: (616) 842-9411
Fax: (616) 842-9058

The provider's authorized official is Raymond D. Sanders .
The authorized official title is Owner and has the following contact phone number (616) 842-9411.

The enumeration date for this NPI number is 9/12/2012 and was last updated on 9/12/2012.


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
1111N00000XChiropractor2301008001MICHIGANYes

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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