CHADWELL CHIROPRACTIC OF MIDLAND LLC (NPI# 1023298965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023298965 |
| Entity Type | Organization |
| Organization Name | CHADWELL CHIROPRACTIC OF MIDLAND LLC |
| Practice Address |
5103 Eastman Ave Suite 140 Midland MI 48640-6785 |
| Practice Telephone | 9898323066 |
| Practice Fax Number | 9898323066 |
| Mailing Telephone | 9898323066 |
| Mailing Fax Number | 9898323066 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2010-10-29 |
| Authorized Official Name | DR. PHILLIP LANGE CHADWELL (OWNER MEMBER) |
| Authorized Official Telephone | 9898323066 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301007008 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3083544 | 05 | |
| MI | BCBSM | 950E61188 | 01 |
| MI | BLUE CARE NETWORK | P97364 | 01 |
| Street Address |
5103 EASTMAN AVE SUITE 140 |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640-6785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124032206 | Teresa K Harrison | Social Worker | 5103 Eastman Ave, Suite 133, Midland, MI 48640-6785 | 2006-07-27 |
| 1275067167 | Esmeralda Marin Gallegos | Counselor | 5103 Eastman Ave, Suite 236, Midland, MI 48640-6785 | 2017-04-18 |
| 1275986937 | Reflections Professional Counseling, LLC | Community/Behavioral Health | 5103 Eastman Ave, Suite 217, Midland, MI 48640-6785 | 2016-07-18 |
| 1659753838 | Jodi Lynn Harwood | Counselor | 5103 Eastman Ave, Suite 217, Midland, MI 48640-6785 | 2015-06-23 |
| 1497153001 | Bayside Home Care, LLC | Nursing Care | 5103 Eastman Ave, #100, Midland, MI 48640-6785 | 2014-12-12 |
| 1801237631 | Something Special Home Care & Assisted Services, Inc. | In Home Supportive Care | 5103 Eastman Ave, Suite 147, Midland, MI 48640-6785 | 2013-07-09 |
| 1285911008 | Bauer Rehab Services II, LLC | Physical Therapist | 5103 Eastman Ave, Suite 100, Midland, MI 48640-6785 | 2011-11-08 |
| 1982890869 | Phillip Lange Chadwell | Chiropractor | 5103 Eastman Ave, Ste 140, Midland, MI 48640-6785 | 2007-09-24 |
| 1376756221 | David G Garcia | Social Worker | 5103 Eastman Ave, Suite 174, Midland, MI 48640-6785 | 2007-05-08 |
| 1144349788 | Camella S. Serum | Psychologist | 5103 Eastman Ave, Suite 237, Midland, MI 48640-6785 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578023834 | Christian Poldrack | Chiropractor | 3408 N Midkiff Rd Ste 307, Midland, TX 79705-4836 | 2019-03-22 |
| 1356844310 | Shawnee Rose Mangino | Chiropractor | 214 W Wackerly St Ste 100, Midland, MI 48640-2795 | 2018-03-15 |
| 1013362789 | Ryan Edwin Balzer | Chiropractor | 301 E Wackerly St, Midland, MI 48642-7062 | 2016-04-29 |
| 1497156624 | Wesley Harpham | Chiropractor | 601 E Wackerly St Ste 2, Midland, MI 48642-7071 | 2014-09-08 |
| 1215350186 | Kehres Health and Chiropractic | Chiropractor | 601 E Wackerly St, Suite 2, Midland, MI 48642-7047 | 2014-01-29 |
| 1164845061 | Sokorro Munoz | Chiropractor | 1211 E Pecan Ave, Midland, TX 79705-6819 | 2014-01-28 |
| 1831534403 | Midland Chiropractic | Chiropractor | 4710 Eastman Ave, Midland, MI 48640 | 2013-05-08 |
| 1760614572 | Health First Chiropractic Clinic of Midland, P.C. | Chiropractor | 2713 Rodd St, Midland, MI 48640-4403 | 2009-08-12 |
| 1457594541 | Healthway Chiropractic, Inc. | Chiropractor | 2525 Washington St Ste 500, Midland, MI 48642-4690 | 2009-04-20 |
| 1649448283 | John H Riggs IIi | Chiropractor | 4610 N Garfield St Ste B4, Midland, TX 79705-2652 | 2008-02-18 |
| Find all providers in MIDLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.