DR. JACOB MAVIS DC NPI 1689460354

NPI Information

  • NPI: 1689460354
  • Provider Name: DR. JACOB MAVIS, DC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 2550 NILES RD
    SAINT JOSEPH, MI
    ZIP 49085
  • Phone: (269) 429-5727

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NPI Details

DR. Jacob Mavis, DC is a chiropractor in Saint Joseph, MI with 1 years of experience. 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. DR. Jacob Mavis, DC NPI is 1689460354. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduation Year:2025

The provider's business location address is:

2550 NILES RD
SAINT JOSEPH, MI
ZIP 49085-270
Phone: (269) 429-5727

The enumeration date for this NPI number is 4/17/2025 and was last updated on 4/17/2025.

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
1111N00000XChiropractor2301401627MICHIGANYes

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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