SPINE AND WELLNESS LLC (NPI# 1154839231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154839231 |
Entity Type | Organization |
Organization Name | SPINE AND WELLNESS LLC |
Other Organization Name | STERLING HEIGHTS SPINE AND WELLNESS |
Practice Address |
39880 Van Dyke Ave Ste 201 Sterling Heights MI 48313-4670 |
Practice Telephone | 5867451021 |
Mailing Telephone | 5867451021 |
Enumeration Date | 2018-01-11 |
Last Update Date | 2018-01-11 |
Authorized Official Name | DR. BRADLEY BURGESS (OWNER/CHIROPRACTOR) |
Authorized Official Telephone | 5865561060 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 2301010613 | MI | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Sterling Heights Spine and Wellness | Doing Business As Name - Organization |
Street Address |
39880 VAN DYKE AVE STE 201 |
City | STERLING HEIGHTS |
State | MI |
Zip Code | 48313-4670 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376055970 | Bradley Burgess | Chiropractor | 39880 Van Dyke Ave Ste 201, Sterling Heights, MI 48313-4670 | 2017-11-04 |
1144869405 | Alltimate Rehab Solutions LLC | Occupational Therapist | 39880 Van Dyke Ave Ste 201, Sterling Heights, MI 48313-4670 | 2020-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417435397 | Britany Lee Colonna | Technician/Technologist | 39100 Augusta Ave, Sterling Heights, MI 48313 | 2018-08-01 |
1871012245 | Amy Lechtenberg | Midwife | 42248 Montroy Dr, Sterling Heights, MI 48313 | 2017-09-16 |
1770012064 | Emily Bedy | Specialist/Technologist | 15004 Bridgeview Dr, Sterling Heights, MI 48313 | 2017-06-08 |
1801347174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 14200 Lakeside Cir, Sterling Heights, MI 48313 | 2016-10-20 |
1225407653 | Diana Hill | Registered Nurse | 433361 Cape Dr, Sterling Heights, MI 48313 | 2015-09-16 |
1104202845 | Xhesika Tasi | Licensed Practical Nurse | 44208 Orchard Ln, Sterling Heights, MI 48313 | 2015-08-05 |
1740698604 | Star Behavior Consultants, LLC | Community/Behavioral Health | 12231 N York Dr, Sterling Heights, MI 48313 | 2014-07-23 |
1215348529 | Care Counseling Solutions LLC | Social Worker | 11945 19 Mile Rd, Sterling Heights, MI 48313 | 2014-05-09 |
1326462870 | Lauren Rae Gomes | Chiropractor | 13919 19 Mile Rd, Sterling Heights, MI 48313 | 2014-02-04 |
1760625776 | Deborah Ann Langlois | Pharmacist | 13500 19 Mile Road, Sterling Heights, MI 48313 | 2009-04-07 |
Find all providers in zip 48313 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619246428 | Basmit Medical Center PC. | Clinic/Center | 34764 Dequindre Rd, Sterling Heights, MI 48310-5279 | 2011-12-22 |
1528394889 | Majesty Diagnostic Company | Clinic/Center | 4460 15 Mile Rd, Sterling Heights, MI 48310-5586 | 2009-10-21 |
1063664563 | Premier Services of Michigan LLC | Clinic/Center | 34208 Van Dyke Ave, Sterling Heights, MI 48312-4647 | 2008-10-15 |
1124276662 | Theramatrix, Inc. | Clinic/Center | 6041 15 Mile Rd, Sterling Heights, MI 48312-4501 | 2008-09-08 |
1073705083 | American Current Care of Michigan PC | Clinic/Center | 40732 Van Dyke Road, Sterling Heights, MI 48313 | 2007-08-14 |
1245430230 | Pondview Personal Physician PC | Clinic/Center | 43207 Pond View Dr, Sterling Heights, MI 48314-1890 | 2007-07-19 |
1881630747 | Durdana Rehman Md PC | Clinic/Center | 35450 Dequindre Rd, Suite 105, Sterling Heights, MI 48310-4810 | 2006-06-21 |
1376588764 | Holter Scanning PC | Clinic/Center | 2405 E 14 Mile Rd, Lower Level, Sterling Heights, MI 48310-5959 | 2006-06-18 |
1447876305 | Allan Schwartz Medical Center PC | Clinic/Center | 9001 15 Mile Rd Ste C, Sterling Heights, MI 48312-3621 | 2020-06-17 |
1750532933 | Allied Prime Care | Clinic/Center | 43138 Dequindre Rd, Sterling Heights, MI 48314-1723 | 2008-10-06 |
Find all providers in STERLING HEIGHTS |
City | STERLING HEIGHTS |
Zip Code | 48313 |
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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.