LAKE SUPERIOR CHIROPRACTIC PLLC NPI 1699383273

NPI Information

NPI: 1699383273
Provider Name: LAKE SUPERIOR CHIROPRACTIC PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
45070 US HIGHWAY 41
CHASSELL, MI
ZIP 49916
Phone: (906) 482-2400
Get Directions

LAKE SUPERIOR CHIROPRACTIC PLLC is a chiropractor in Chassell, 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 SUPERIOR CHIROPRACTIC PLLC NPI is 1699383273. The provider is registered as an organization entity type.

The provider's business location address is:

45070 US HIGHWAY 41
CHASSELL, MI
ZIP 49916-168
Phone: (906) 482-2400

The provider's authorized official is Amanda Deyaert .
The authorized official title is Owner/chiropractor and has the following contact phone number (906) 482-2400.

The enumeration date for this NPI number is 7/20/2020 and was last updated on 9/8/2020.

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
1	261QH0100X	Clinic/Center	Health Service			No
2	111N00000X	Chiropractor				Yes

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

NPI Synchronization or Removal

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