CHARLES LIETZ ACTION AK CHIROPRACTIC CLINIC LLC (NPI# 1144518705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144518705 |
| Entity Type | Organization |
| Organization Name | CHARLES LIETZ ACTION AK CHIROPRACTIC CLINIC LLC |
| Practice Address |
3584 Fairlanes Ave Sw Grandville MI 49418-1583 |
| Practice Telephone | 6165303333 |
| Practice Fax Number | 6166083803 |
| Mailing Telephone | 6165303333 |
| Mailing Fax Number | 6166083803 |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-07-18 |
| Authorized Official Name | DR. CHARLES MICHAEL LIETZ (OWNER) |
| Authorized Official Telephone | 6165303333 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301004973 | MI | Chiropractic Providers |
| Street Address |
3584 FAIRLANES AVE SW |
| City | GRANDVILLE |
| State | MI |
| Zip Code | 49418-1583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275583031 | Marjalize Kirsten | Physical Therapist | 3584 Fairlanes Ave Sw, Grandville, MI 49418-1583 | 2006-05-11 |
| 1366894891 | Julie Deboer | Registered Nurse | 3584 Fairlanes Ave Sw, Suite 2, Grandville, MI 49418-1583 | 2016-07-08 |
| 1942670559 | Crc Recovery, Inc. | Counselor | 3584 Fairlanes Ave Sw, Ste 2, Grandville, MI 49418-1583 | 2015-09-25 |
| 1164847984 | Acton Family Chiropractic, Pllc | Clinic/Center | 3584 Fairlanes Ave Sw, Suite C, Grandville, MI 49418-1583 | 2014-03-03 |
| 1346552866 | Scott Anthony Lietz | Chiropractor | 3584 Fairlanes Ave Sw, Grandville, MI 49418-1583 | 2010-07-13 |
| 1568682201 | Charles Michael Lietz | Chiropractor | 3584 Fairlanes Ave Sw, Grandville, MI 49418-1583 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144799669 | Holly Cieslinski | Occupational Therapist | 3550 Fairlines Ave, Grandville, MI 49418 | 2018-11-14 |
| 1639664857 | Athletico Ltd | Physical Therapist | 3819 Rivertown Pkwy Sw Ste 100, Grandville, MI 49418 | 2018-06-29 |
| 1437651916 | Great Lakes Wellness Counseling LLC | Counselor | 2900 Wilson Ave Suite 110, Grandville, MI 49418 | 2018-03-01 |
| 1780111765 | Jenna Sargent | Nurse Practitioner | 2845 44th St Sw, Ste 200, Grandville, MI 49418 | 2017-05-22 |
| 1881132827 | Laura Elizabeth Ramaker | Specialist/Technologist | 2787 Pine Dunes Ct Sw, Wyoming, MI 49418 | 2017-02-10 |
| 1689026130 | Charles Unseld | Hearing Instrument Specialist | O-38 44th St Sw, Grandville, MI 49418 | 2016-07-08 |
| 1972989655 | Laci Dawn Johncock | Physical Therapy Assistant | 2786 56th Street, Wyoming, MI 49418 | 2015-08-05 |
| 1891178570 | Joshua Kolman | Pharmacist | 3434 Century Center Dr Sw, Grandville, MI 49418 | 2015-06-30 |
| 1710368782 | Tracie Medrano- Smith | Family Medicine | 4174 56th St Sw, Wyoming, MI 49418 | 2015-06-15 |
| 1124410808 | Kim Michelle Childress | Counselor | 4565 Wilson Ave Sw Ste 3a, Grandville, MI 49418 | 2015-03-04 |
| Find all providers in zip 49418 | ||||
| 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 |
|---|---|---|---|---|
| 1821550930 | Sarah Larosa | Chiropractor | 176 Brookmeadow Dr Sw Apt 2, Grandville, MI 49418-2197 | 2019-04-05 |
| 1922510924 | Leslie S Mitzel | Chiropractor | 6293 Kenowa Ave Sw, Grandville, MI 49418-9405 | 2017-10-30 |
| 1174933972 | Courtney Dena Hendon-acton | Chiropractor | 3584 Fairlanes Ave Sw Ste C, Grandville, MI 49418-1583 | 2014-05-01 |
| 1861746786 | Steven Robert Goeddeke | Chiropractor | 4555 Wilson Ave Sw Ste 2a, Grandville, MI 49418-2370 | 2012-10-30 |
| 1720331887 | Marc Andrew Demeester | Chiropractor | 209 Bliss Dr Sw, Grandville, MI 49418-2108 | 2012-10-25 |
| 1043578065 | Mark D. Wolfman | Chiropractor | 4693 Wilson Ave Sw Ste K, Grandville, MI 49418-8762 | 2012-04-27 |
| 1720107915 | Ronda Lynn Vanderwall | Chiropractor | 4072 Chicago Dr Sw, Grandville, MI 49418-1291 | 2007-03-28 |
| 1669521605 | Randall Williams | Chiropractor | 3000 Ivanrest Ave Sw, Suite D, Grandville, MI 49418-2943 | 2007-01-09 |
| 1518970938 | John Joseph Potente | Chiropractor | 4555 Wilson Ave, Suite #4, Grandville, MI 49418 | 2006-08-15 |
| 1982610929 | Patrick John Sheeran | Chiropractor | 36 44th St Sw, Grandville, MI 49418-2177 | 2006-07-31 |
| Find all providers in GRANDVILLE | ||||
| City | GRANDVILLE |
| Zip Code | 49418 |
Please comment or provide details below to improve the information on CHARLES LIETZ ACTION AK CHIROPRACTIC CLINIC LLC.
| 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.