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CRAIG S ROCKWELL DC PLLC NPI 1750642997


NPI Information

NPI: 1750642997
Provider Name: CRAIG S ROCKWELL DC PLLC
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
7579 MAIN ST
JENISON, MI
ZIP 49428
Phone: (616) 457-4511
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CRAIG S ROCKWELL DC PLLC is a residential treatment facility physical disabilities in Jenison, MI. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. CRAIG S ROCKWELL DC PLLC NPI is 1750642997. The provider is registered as an organization entity type.

The provider's business location address is:

7579 MAIN ST
JENISON, MI
ZIP 49428-251
Phone: (616) 457-4511
Fax: (616) 667-1936

The provider's authorized official is Craig Stephen Rockwell .
The authorized official title is Sole Mbr and has the following contact phone number (616) 457-4511.

The enumeration date for this NPI number is 6/5/2012 and was last updated on 6/5/2012.


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
1320700000XResidential Treatment Facility, Physical Disabilities2301004746MICHIGANYes

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
1OGO5044MEDICARE PINMICHIGAN

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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