MATTAWAN CHIROPRACTIC CLINIC P.C. NPI 1871698340

NPI Information

NPI: 1871698340
Provider Name: MATTAWAN CHIROPRACTIC CLINIC, P.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address: 55475 N MAIN ST
MATTAWAN, MI
ZIP 49071
Phone: (269) 668-4521

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NPI Details

MATTAWAN CHIROPRACTIC CLINIC, P.C. is a chiropractor in Mattawan, 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. MATTAWAN CHIROPRACTIC CLINIC, P.C. NPI is 1871698340. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

55475 N MAIN ST
MATTAWAN, MI
ZIP 49071-304
Phone: (269) 668-4521
Fax: (269) 668-4522

The provider's authorized official is Kayla Ranger-dean .
The authorized official title is President and has the following contact phone number (269) 668-4521.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 8/22/2020.

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	111N00000X	Chiropractor		KR005892	MICHIGAN	Yes

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
1	44-30154	OTHER	MICHIGAN	IBA-UNITED HEALTH CARE
2	2892570	MEDICAID	MICHIGAN
3	4051784	OTHER	ILLINOIS	BCBS OF IL
4	950H05015	OTHER	MICHIGAN	BCBS OF MI

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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