DR. DENISE SUE COLESTOCK (NPI# 1417075425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417075425 |
| Entity Type | Individual |
| Full Name | DR. DENISE SUE COLESTOCK |
| Credential | D.C. |
| Practice Address |
802 S Main St Eaton Rapids MI 48827-1730 |
| Practice Telephone | 5176638825 |
| Practice Fax Number | 5176638805 |
| Mailing Telephone | 5176638825 |
| Mailing Fax Number | 5176638805 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2013-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301008414 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM PROVIDER ID# | 950B350460 | 01 |
| Street Address |
802 S MAIN ST |
| City | EATON RAPIDS |
| State | MI |
| Zip Code | 48827-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538399837 | Suzanne T O'rourke | Nurse Practitioner | 101 Spicerville Hwy, Eaton Rapids, MI 48827 | 2009-07-21 |
| 1831300706 | Wilson Homes, Inc. | Custodial Care Facility | 4511 Mills Hwy, Eaton Rapids, MI 48827 | 2007-05-24 |
| 1245370238 | Dianne Lynn Vanaken | Pharmacist | 122-124 S Main, Eaton Rapids, MI 48827 | 2007-02-07 |
| 1669562542 | Diane Jill Shawa | Pharmacy Technician | 1411 S. Main St., Eaton Rapids, MI 48827 | 2006-10-13 |
| 1417913104 | Jonathan Paul Wulff | Family Medicine | 1501 Kyle Street, Eaton Rapids, MI 48827 | 2006-04-22 |
| 1982229837 | Catherine D Asteriou | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2020-06-16 |
| 1821648056 | Gina Marie Christopherson | Behavioral Analyst | 2549 Jolly Rd, Lansing, MI 48827 | 2019-09-19 |
| 1295203743 | Cosette Weaver | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2018-11-02 |
| 1649750118 | Kahley Emens | Physical Therapist | 1415 S Main St Ste B, Eaton Rapids, MI 48827 | 2018-08-15 |
| 1083062368 | Tara Calabro | Social Worker | 1500 S Main St, Eaton Rapids, MI 48827 | 2016-05-27 |
| Find all providers in zip 48827 | ||||
| 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 |
|---|---|---|---|---|
| 1225551096 | Eaton Rapids Family Chiropractic, Pllc | Chiropractor | 1467 S Main St, Eaton Rapids, MI 48827-1937 | 2017-07-24 |
| 1417291261 | Rachel Aledah Holmberg | Chiropractor | 9080 Blossom Ln, Eaton Rapids, MI 48827-8527 | 2012-11-18 |
| 1093752644 | Joseph John Sheneman | Chiropractor | 1322 S Main St, Eaton Rapids, MI 48827-1921 | 2006-06-01 |
| 1629427398 | Atlas Chiropractic Clinic | Chiropractor | 1322 S Main St, Eaton Rapids, MI 48827-1921 | 2016-06-03 |
| 1447490495 | Eaton Rapids Chiropractic Psc | Chiropractor | 106 S Main St, Eaton Rapids, MI 48827-1075 | 2009-03-04 |
| 1639201114 | Dennis Alan Albrecht | Chiropractor | 106 S Main St, Eaton Rapids, MI 48827-1068 | 2007-03-11 |
| 1710924360 | Diann Gail Parker | Chiropractor | 1322 S Main St, Eaton Rapids, MI 48827-1921 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860240 | Moriah K Severance | Chiropractor | 2449 W Kimmel Rd, Jackson, MI 49201-9783 | 2020-10-30 |
| 1760082465 | David Scott Severance | Chiropractor | 11720 Tompkins Rd, Rives Junction, MI 49277-9629 | 2020-10-30 |
| 1760082705 | Kelly Chiropractic Clinic, LLC | Chiropractor | 3179 12 Mile Rd, Berkley, MI 48072-1339 | 2020-10-29 |
| 1619584273 | Sydnee Laree Rutledge | Chiropractor | 3634 Mccain Rd Ste 7, Jackson, MI 49203-2576 | 2020-09-28 |
| 1790391860 | Ferras Dassouki | Chiropractor | 1126 Hunter Ct, Milford, MI 48381-3180 | 2020-09-23 |
| 1811503972 | Nicholas Heiserman | Chiropractor | 498 E Monroe St, Dundee, MI 48131-1321 | 2020-09-23 |
| 1114532835 | Pro-active Chiropractic Wellness of Grand Rapids | Chiropractor | 4270 Plainfield Ave Ne # E, Grand Rapids, MI 49525-1603 | 2020-09-10 |
| 1215540463 | Lake State Chiropractic Pllc | Chiropractor | 2155 84th St Sw Ste 4, Byron Center, MI 49315-8259 | 2020-08-27 |
| 1609488402 | Primrose Family Chiropractic and Wellness Center | Chiropractor | 25900 Greenfield Rd Suite 252, Oak Park, MI 48237-1297 | 2020-08-21 |
| 1780295063 | Wilhelm Family Chiropractic and Massage Pllc | Chiropractor | 23200 Pontiac Trl, South Lyon, MI 48178-1983 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
| City | EATON RAPIDS |
| Zip Code | 48827 |
Please comment or provide details below to improve the information on DR. DENISE SUE COLESTOCK.
| 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.