PHILLIP MALETTA (NPI# 1114318235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114318235 |
| Entity Type | Individual |
| Full Name | PHILLIP MALETTA |
| Credential | DC |
| Practice Address |
2863 W Shore Dr Ste 114 Holland MI 49424-9576 |
| Practice Telephone | (616) 399-6624 |
| Mailing Telephone | (616) 399-6624 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301010295 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | LICENSE | 2301010295 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2000 Burton St Se, Suite 3, Grand Rapids, MI 495064670 | 6168286730 |
| Street Address |
2863 W SHORE DR STE 114 |
| City | HOLLAND |
| State | MI |
| Zip Code | 49424-9576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376934075 | Maletta Chiropractic Pllc | Chiropractor | 2863 W Shore Dr Ste 114, Holland, MI 49424-9576 | 2015-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290999 | Anderson Family and Cosmetic Dentistry | Dentist | 453 136th Ave., Holland, MI 49424 | 2018-10-08 |
| 1487139663 | Maria C. Hoekstra Dds, P.C. | Dentist | 1121 Ottawa Beach Road, Suite 100, Holland, MI 49424 | 2018-10-03 |
| 1871024000 | Derek Schaaf | Rehabilitation Practitioner | 13835 Foxtrail Dr., Holland, MI 49424 | 2017-03-21 |
| 1699227397 | Tabitha Margritz | Optometrist | 2279 N Park Drive #910, Holland, MI 49424 | 2016-10-28 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1891107611 | Nathan B. Poel | Dentist | 1180 Ottawa Beach Rd, Suite E, Holland, MI 49424 | 2014-05-28 |
| 1477990802 | Jeanine Hamilton | Speech-Language Pathologist | 1576 Eb Creek Dr., Holland, MI 49424 | 2013-05-24 |
| 1194062638 | Stefan John Kuipers | Physician Assistant | 3100 Wellness Dr, Holland, MI 49424 | 2013-01-03 |
| 1902155690 | Benjamin Eovaldi | General Practice | 376 Mayfair St., Holland, MI 49424 | 2012-09-10 |
| 1295017929 | Employee Assistance Center Garden | Psychologist | 372 Garden, Holland, MI 49424 | 2011-09-20 |
| Find all providers in zip 49424 | ||||
| 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 |
|---|---|---|---|---|
| 1790339430 | Renee Michelle Mckee | Chiropractor | 314 120th Ave Ste 1, Holland, MI 49424-3313 | 2019-07-31 |
| 1225554256 | Wolters Chiropractic Pllc | Chiropractor | 12719 Riley St Ste 80, Holland, MI 49424-9216 | 2017-08-22 |
| 1124560974 | Vitality Chiropractic Wellness Services LLC | Chiropractor | 12053 Parkview Ln, Holland, MI 49424-8934 | 2016-11-10 |
| 1508243056 | Andrew Peasley | Chiropractor | 436 Century Ln., Holland, MI 49423 | 2015-05-05 |
| 1629455696 | Heather Speaks | Chiropractor | 98 Douglas Ave Ste 103, Holland, MI 49424-2150 | 2015-04-29 |
| 1396131413 | Ronald Rabineau IIi | Chiropractor | 258 James St, Holland, MI 49424-1826 | 2015-04-15 |
| 1619373701 | Miller Chiropractic LLC | Chiropractor | 84 East Lakewood Boulevard, Holland, MI 49424 | 2014-11-17 |
| 1003215369 | Kody Semrow | Chiropractor | 833 E 16th St Ste 175, Holland, MI 49423-9257 | 2014-08-22 |
| 1962816272 | Brad Mcalpine | Chiropractor | 1992 S Shore Dr Apt 1, Holland, MI 49423-4358 | 2014-06-13 |
| 1386068948 | Peasley Brothers Chiropractic PC | Chiropractor | 436 Century Lane, Holland, MI 49423-4294 | 2014-02-18 |
| Find all providers in HOLLAND | ||||
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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.