BRIAN L ROSCOE, DC, LLC (NPI# 1174701957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174701957 |
| Entity Type | Organization |
| Organization Name | BRIAN L ROSCOE, DC, LLC |
| Other Organization Name | ROSCOE CHIROPRACTIC WELLNESS CENTER |
| Practice Address |
727 Washington Ave Grand Haven MI 49417-1458 |
| Practice Telephone | 6168471444 |
| Practice Fax Number | 6168471711 |
| Mailing Telephone | 6168471444 |
| Mailing Fax Number | 6168471711 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |
| Authorized Official Name | MR. BRIAN L ROSCOE (OWNER) |
| Authorized Official Telephone | 6168471444 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301005392 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS | 0G01069 | 01 |
| Other Name | Type Code |
|---|---|
| Roscoe Chiropractic Wellness Center | Other Name - Individual/Organization |
| Street Address |
727 WASHINGTON AVE |
| City | GRAND HAVEN |
| State | MI |
| Zip Code | 49417-1458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393478 | Compassionate Christian Therapy, LLC | Social Worker | 16989 Robbins Rd, Grand Haven, MI 49417 | 2019-06-03 |
| 1275098501 | Christi Rene Fortenbacher | Massage Therapist | 318 S. Beacon Blvd, Grand Haven, MI 49417 | 2019-01-31 |
| 1518440650 | Jessica Hankins | Physical Therapy Assistant | 15773 Charles Ct, Grand Haven, MI 49417 | 2018-09-14 |
| 1558857466 | Christina Steege | Physical Therapist | 514 Friant St, Grand Haven, MI 49417 | 2018-07-03 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1982057907 | Jeremyn Duane Wiersma | Counselor | 1703 S. Despelder St., Grand Haven, MI 49417 | 2016-07-14 |
| 1760855225 | Lisa Costello | Dental Hygienist | 326 N. Ferry St, Grand Haven, MI 49417 | 2015-11-05 |
| 1508116088 | Great Lakes Chiropractic Health | Chiropractor | 15 S. Seventh St., Grand Haven, MI 49417 | 2012-09-12 |
| 1508120122 | Jonathan Stewart Rouwhorst | Family Medicine | 15161 Willowwood Ct, Grand Haven, MI 49417 | 2012-06-28 |
| 1104108836 | Employee Assistance Center Fulton | Psychologist | 321 Fulton, Grand Haven, MI 49417 | 2011-09-20 |
| Find all providers in zip 49417 | ||||
| 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 |
|---|---|---|---|---|
| 1437696747 | Hunter Bradley Dulaney | Chiropractor | 1830 172nd Ave, Suite B, Grand Haven, MI 49417-8999 | 2017-01-24 |
| 1508116088 | Great Lakes Chiropractic Health | Chiropractor | 15 S. Seventh St., Grand Haven, MI 49417 | 2012-09-12 |
| 1982997516 | Vitality Chiropractic Center Plc | Chiropractor | 600 S Beacon Blvd, Suite B, Grand Haven, MI 49417-2178 | 2011-05-16 |
| 1376841031 | Jasmine Lena Hornberger | Chiropractor | 1428 Waverly Ave, Grand Haven, MI 49417-2392 | 2011-03-04 |
| 1700027034 | Semlow Peak Performance Chiropractic | Chiropractor | 302 S Beechtree St Ste A, Grand Haven, MI 49417-2072 | 2009-03-17 |
| 1043450026 | Susan Isaacs | Chiropractor | 1135 Woodlawn Ave, Grand Haven, MI 49417-2260 | 2009-03-03 |
| 1265671606 | Kirk Justin Semlow | Chiropractor | 302 S. Beechtree St., Ste A, Grand Haven, MI 49417-2072 | 2009-02-09 |
| 1104014000 | Steven Robert Kraft | Chiropractor | 300 N Ferry St, Ste D, Grand Haven, MI 49417-1166 | 2007-10-05 |
| 1669699898 | John David Hall | Chiropractor | 616 N Beacon Blvd, Grand Haven, MI 49417-1193 | 2007-04-19 |
| 1033242276 | Gregory Scott Ling | Chiropractor | 700 Fulton St., Suite A, Grand Haven, MI 49417 | 2007-03-14 |
| Find all providers in GRAND HAVEN | ||||
| City | GRAND HAVEN |
| Zip Code | 49417 |
Please comment or provide details below to improve the information on BRIAN L ROSCOE, DC, 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.