WEISS CHIROPRACTIC LIFE CENTER PLC (NPI# 1114227063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114227063 |
| Entity Type | Organization |
| Organization Name | WEISS CHIROPRACTIC LIFE CENTER PLC |
| Practice Address |
49357 Pontiac Trl Suite 104 Wixom MI 48393-2068 |
| Practice Telephone | 2486249393 |
| Practice Fax Number | 2486246010 |
| Mailing Telephone | 2486249393 |
| Mailing Fax Number | 2486246010 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |
| Authorized Official Name | DR. LAWRENCE ROBERT WEISS (OWNER) |
| Authorized Official Telephone | 2486249393 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301007148 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE ID- TYPE UNSPECIFIED | 0M69020 | 01 |
| MI | 3495449 | 05 | |
| MI | BCN PROVIDER # | P99468 | 01 |
| MI | SELECTCARE PROVIDER # | 168901 | 01 |
| MI | BCBS PROVIDER # | 95035449 | 01 |
| Street Address |
49357 PONTIAC TRL SUITE 104 |
| City | WIXOM |
| State | MI |
| Zip Code | 48393-2068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760712319 | Integrated Physical Therapy Solutions LLC | Clinic/Center | 49357 Pontiac Trl, Suite #104, Wixom, MI 48393-2068 | 2010-01-04 |
| 1124415278 | Nicole Marie Buchwald | Physical Therapy Assistant | 49357 Pontiac Trl, Suite 104, Wixom, MI 48393-2068 | 2015-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669907507 | Nikita Waller | Specialist/Technologist, Other | 28345 Beck Road, Ste. 103, Wixom, MI 48393 | 2017-04-28 |
| 1356897086 | Amber Kay Smith | Technician, Other | 403 Meadows Circle South, Wixom, MI 48393 | 2016-09-01 |
| 1306259718 | Omaka Mokambe | Licensed Practical Nurse | 47915 Thornwood St Apt 11103, Wixom, MI 48393 | 2014-06-04 |
| 1932491487 | Carla's Comp-anionship & Care LLC | Point of Service | 30739 Tamarack St. #40101, Wixom, MI 48393 | 2011-05-03 |
| 1790981900 | Positive Reflections Empowerment Center | Community/Behavioral Health | 47922 Fernwood 12107, Wixom, MI 48393 | 2007-06-25 |
| 1871635409 | Lawrence Robert Weiss | Chiropractor | 49295 West Rd, Wixom, MI 48393 | 2007-02-12 |
| 1295803096 | William Jason Finn | Chiropractor | 3255 W Maple, Suite B, Wixom, MI 48393 | 2006-12-01 |
| 1629148853 | J & B Medical Supply Co Inc | Durable Medical Equipment & Medical Supplies | 50496 W Pontiac Trail, Wixom, MI 48393 | 2006-11-08 |
| 1487613899 | Shawn William Grant | Physical Therapist | 29822 Wixom Rd., Wixom, MI 48393 | 2006-03-23 |
| 1346732401 | Dana Chirico | Specialist/Technologist, Other | 28345 Beck Road, Ste. 103, Wixom, MI 48393 | 2018-06-05 |
| Find all providers in zip 48393 | ||||
| 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 |
|---|---|---|---|---|
| 1891075040 | James Ross Muldoon | Chiropractor | 29680 S Wixom Rd, Wixom, MI 48393-3430 | 2011-08-19 |
| 1871635409 | Lawrence Robert Weiss | Chiropractor | 49295 West Rd, Wixom, MI 48393 | 2007-02-12 |
| 1295803096 | William Jason Finn | Chiropractor | 3255 W Maple, Suite B, Wixom, MI 48393 | 2006-12-01 |
| 1255359576 | Mark Christopher Weller | Chiropractor | 49100 Pontiac Trl, Wixom, MI 48393-2569 | 2006-07-17 |
| 1295785467 | Chris A Niedzinski | Chiropractor | 28345 Beck Rd, Suite 412, Wixom, MI 48393-4733 | 2006-05-11 |
| 1497229512 | Element Chiropractic & Wellness, LLC | Chiropractor | 50200 Dennis Ct, Wixom, MI 48393-2021 | 2019-01-12 |
| 1629541743 | Samantha Nikole Brish | Chiropractor | 50200 Dennis Ct, Wixom, MI 48393-2021 | 2019-01-11 |
| 1396141982 | Alternative Healing Chiropractic Center, Pllc | Chiropractor | 49100 Pontiac Trl, Wixom, MI 48393-2569 | 2014-11-10 |
| 1043632607 | James R. Muldoon Dc Pllc | Chiropractor | 29680 S Wixom Rd, Wixom, MI 48393-3430 | 2014-01-15 |
| 1164624193 | Weller Chiropractic Clinic P.C. | Chiropractor | 49100 Pontiac Trl, Wixom, MI 48393-2569 | 2007-06-01 |
| Find all providers in WIXOM | ||||
Please comment or provide details below to improve the information on WEISS CHIROPRACTIC LIFE CENTER PLC.
| 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.