WHITE LAKE CHIROPRACTIC CENTRE INC (NPI# 1457522385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457522385 |
| Entity Type | Organization |
| Organization Name | WHITE LAKE CHIROPRACTIC CENTRE INC |
| Practice Address |
1030 S Mears Ave Suite A Whitehall MI 49461-1779 |
| Practice Telephone | 2318931755 |
| Practice Fax Number | 2318933595 |
| Mailing Telephone | 2318931755 |
| Mailing Fax Number | 2318933595 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2009-06-16 |
| Authorized Official Name | DR. RANDY D BROWN (PRESIDENT) |
| Authorized Official Telephone | 2318931755 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301003057 | MI | Chiropractic Providers |
| Street Address |
1030 S MEARS AVE SUITE A |
| City | WHITEHALL |
| State | MI |
| Zip Code | 49461-1779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942385265 | Gundersen and Zuker Pllc | Optometrist | 1030 S Mears Ave, Ste B, Whitehall, MI 49461-1784 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720527955 | Wal-mart Stores East, Lp | Technician/Technologist | 2755 W Holton-whitehall Rd, Whitehall, MI 49461 | 2017-02-21 |
| 1720367055 | Jacob Marshall Taylor | Family Medicine | 905 E Colby St Ste 100, Whitehall, MI 49461 | 2011-08-04 |
| 1700982865 | Brent Richard Beacom | Chiropractor | 923 Colby Rd, Whitehall, MI 49461 | 2006-09-16 |
| 1760592539 | Preston Teval Bown | Dentist | 504 E Colby St, Whitchall, MI 49461 | 2006-08-30 |
| 1801821301 | Helena Maria Beacom | Chiropractor | 923 E Colby Rd, Beacom Family Chiropractic, Whitehall, MI 49461 | 2006-07-12 |
| 1992997647 | Matthew John Roberge | Family Medicine | 905 E Colby St, Whitehall, MI 49461 | 2007-08-16 |
| 1710013040 | Ronald A Lehman | Dentist | 116 W Colby St, Suite 1, Whitehall, MI 49461 | 2007-02-23 |
| 1073619136 | Beacom Family Chiropractic Wellness | Chiropractor | 923 Colby Rd, Whitehall, MI 49461 | 2006-09-16 |
| 1821037268 | Matthew Allen Tripp | Physician Assistant | 905 E Colby St, Whitehall, MI 49461 | 2006-06-04 |
| 1104817980 | Joseph Gerard Kerschen | Family Medicine | 905 E Colby St, Whitehall, MI 49461 | 2005-11-02 |
| Find all providers in zip 49461 | ||||
| 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 |
|---|---|---|---|---|
| 1407334592 | Nathan Leroy Elliott | Chiropractor | 923 E. Colby Rd, Whitehall, MI 49461-1203 | 2018-08-01 |
| 1457574063 | Thomas J Macko | Chiropractor | 3251 Seventh St, Whitehall, PA 18052 | 2007-04-11 |
| 1215079140 | Whitehall Chiropractic PC | Chiropractor | 511 W Legion Ave, Whitehall, MT 59759-0547 | 2007-02-14 |
| 1659479087 | Thomas Alexander Greening | Chiropractor | 881 3rd St, Suite C-1, Whitehall, PA 18052-5900 | 2006-09-20 |
| 1700982865 | Brent Richard Beacom | Chiropractor | 923 Colby Rd, Whitehall, MI 49461 | 2006-09-16 |
| 1801821301 | Helena Maria Beacom | Chiropractor | 923 E Colby Rd, Beacom Family Chiropractic, Whitehall, MI 49461 | 2006-07-12 |
| 1083649255 | Rossmore Denman Lyon | Chiropractor | 1618 Schadt Ave, Whitehall, PA 18052-3702 | 2006-07-12 |
| 1447292107 | Sara Ann Pank | Chiropractor | 36321 Main St, Whitehall, WI 54773-9186 | 2006-06-10 |
| 1679529325 | Stephen Martin Rendek IIi | Chiropractor | 3894 E Broad St, Whitehall, OH 43213-1140 | 2006-05-25 |
| 1851373146 | Randy D Brown | Chiropractor | 1020 S Mears Ave, Whitehall, MI 49461-1729 | 2005-11-14 |
| Find all providers in WHITEHALL | ||||
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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.