BOUCHARD CHIROPRACTIC PLLC (NPI# 1134542517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134542517 |
| Entity Type | Organization |
| Organization Name | BOUCHARD CHIROPRACTIC PLLC |
| Practice Address |
27322 23 Mile Rd Suite 3 Chesterfield MI 48051-2032 |
| Mailing Address |
12839 Chippewa Dr Warren MI 48088-1816 |
| Practice Telephone | 5862312225 |
| Mailing Telephone | 2487672183 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |
| Authorized Official Name | DR. KRISTY SUE BOUCHARD (OWNER/MANAGER) |
| Authorized Official Telephone | 2487672183 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2324558 | MI | Chiropractic Providers |
| Street Address |
27322 23 MILE RD SUITE 3 |
| City | CHESTERFIELD |
| State | MI |
| Zip Code | 48051-2032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205839107 | Louis D Maiorano | Dentist | 27322 23 Mile Rd, Ste 1, Chesterfield, MI 48051-2032 | 2005-05-24 |
| 1336492594 | Kevin Ralph Caron | Chiropractor | 27322 23 Mile Rd, Suite 3, Chesterfield, MI 48051-2032 | 2012-10-24 |
| 1003077470 | Advanced Chiropractic Health Center PC | Chiropractor | 27322 23 Mile Rd, Ste 3, Chesterfield, MI 48051-2032 | 2008-06-19 |
| 1992876437 | David Paul Borlas | Dentist | 27322 23 Mile Rd, Ste 1, Chesterfield, MI 48051-2032 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083139877 | Courtney Lynn Wittfeldt | Nurse Practitioner | 48833 Shady Glen Dr, Chesterfield, MI 48051 | 2017-08-14 |
| 1477082972 | Kathryn Louise Bruhns Zemke | Behavior Technician | 53869 Connor Drive, Chesterfield, MI 48051 | 2017-06-08 |
| 1417352055 | Julie Yaroch | Counselor | 51629 Hale Lane, Chesterfield Twp., MI 48051 | 2014-10-24 |
| 1437579661 | Jennifer Groeneveld | Physical Therapist | 34095 23 Mile Road, Chesterfield, MI 48051 | 2014-04-28 |
| 1376874396 | Donna Sue Perkins | Counselor | 50630 Chesterfield Road, Chesterfield, MI 48051 | 2010-01-15 |
| 1134267016 | Gary Main Burnett | Counselor | 46360 Gratiot Ave., Chesterfield, MI 48051 | 2007-02-02 |
| 1003831660 | Bormans Inc | Pharmacy | 51328 Gratiot, Chesterfield Twp, MI 48051 | 2006-07-13 |
| 1447228168 | Stephanie Lynn Denner | Occupational Therapist | 47085 Gratiot, Ceterfield, MI 48051 | 2006-03-09 |
| 1821077827 | Kathleen Marie-sohn Kudzia | Counselor | 46360 Gratiot, Chesterfield, MI 48051 | 2006-01-10 |
| 1366904708 | Tmj & Sleep Therapy Centre of Macomb County, Pllc | Dentist | 50475 Gratiot, Suite 4, Chesterfield, MI 48051 | 2019-04-04 |
| Find all providers in zip 48051 | ||||
| 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 |
|---|---|---|---|---|
| 1598389249 | Tyler Alan Ploss | Chiropractor | 17684 Chesterfield Airport Rd, Chesterfield, MO 63005-1214 | 2020-05-28 |
| 1194368068 | Stephen Thomas Mills | Chiropractor | 15510 Olive Blvd Ste 105, Chesterfield, MO 63017-0710 | 2019-10-23 |
| 1164999173 | Lauren Nicole Bremerman | Chiropractor | 1353 Chesterfield Estates Dr, Chesterfield, MO 63005-4468 | 2018-10-29 |
| 1740756717 | Abraham Ray Renaud | Chiropractor | 1636 Clarkson Rd, Chesterfield, MO 63017-4601 | 2018-10-17 |
| 1063991602 | Frank Robert Harris | Chiropractor | 15876 Fountain Plaza Dr, Chesterfield, MO 63017-7469 | 2018-08-13 |
| 1225515067 | Kimberly Ann Cerf | Chiropractor | 986 Westmeade Dr, Chesterfield, MO 63005-4830 | 2018-07-24 |
| 1003393372 | Corey G. Hahn, D.c. LLC | Chiropractor | 141 Chesterfield Business Pkwy, Chesterfield, MO 63005-1233 | 2018-07-19 |
| 1063901254 | Ryan Hewkin | Chiropractor | 17684 Chesterfield Airport Road, Chesterfield, MO 63005 | 2018-05-03 |
| 1649783721 | Alexis Piper Orlando | Chiropractor | 47523 Viola Ln, Chesterfield, MI 48047-2407 | 2017-11-10 |
| 1366891525 | William Dr Carpenter LLC | Chiropractor | 2281 Kettington Ct, Chesterfield, MO 63017-7471 | 2016-06-08 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 48051 |
Please comment or provide details below to improve the information on BOUCHARD CHIROPRACTIC PLLC.
| 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.