DR. IAN SHEPSTONE (NPI# 1639789522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639789522 |
| Entity Type | Individual |
| Full Name | DR. IAN SHEPSTONE |
| Credential | DC |
| Practice Address |
139 W Michigan Ave Grass Lake MI 49240-9188 |
| Mailing Address |
640 Cliffs Dr Apt 301b Ypsilanti MI 48198-7342 |
| Practice Telephone | 5175228315 |
| Mailing Telephone | 8474712248 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301010940 | MI | Chiropractic Providers |
| Street Address |
139 W MICHIGAN AVE |
| City | GRASS LAKE |
| State | MI |
| Zip Code | 49240-9188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306991 | Grass Lake Surgery Center LLC | Clinic/Center | 3800 Centennial Blvd, Grass Lake, MI 49240 | 2020-04-29 |
| 1952969172 | Indispensable Health | Pharmacy | 114 E. Michigan Ave, Suite 2, Grass Lake, MI 49240 | 2019-06-03 |
| 1205169851 | David Oneill Foley | Reflexologist | 1165 Rowena Ave, Grass Lake, MI 49240 | 2009-09-15 |
| 1336240225 | Kathleen Anzicek | Family Medicine | 12337 E Michigan Ave, Grass Lake, MI 49240-0246 | 2006-09-26 |
| 1174637995 | Mark E Leventer | Family Medicine | 12337 E Michigan Ave, Grass Lake, MI 49240-0246 | 2006-08-18 |
| 1548486681 | Providence Hospital | General Acute Care Hospital | 10508 Keane Dr, Grass Lake, MI 49240-8803 | 2007-04-17 |
| 1821299959 | Betsabe Molleda | Massage Therapist | 11231 Huckleberry Ln, Grass Lake, MI 49240-8957 | 2007-05-29 |
| 1477746600 | Patrick Raymond Eckes | Chiropractor | 125 W Michigan Ave, Grass Lake, MI 49240-9188 | 2007-08-21 |
| 1629233150 | Grass Lake Chiropractic Center, Pllc | Chiropractor | 125 W Michigan Ave, Grass Lake, MI 49240-9188 | 2008-07-24 |
| 1447413380 | Daniel Nelson Mikel | Chiropractor | 125 W Michigan Ave, Grass Lake, MI 49240-9188 | 2008-07-09 |
| Find all providers in zip 49240 | ||||
| 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 |
|---|---|---|---|---|
| 1477746600 | Patrick Raymond Eckes | Chiropractor | 125 W Michigan Ave, Grass Lake, MI 49240-9188 | 2007-08-21 |
| 1629233150 | Grass Lake Chiropractic Center, Pllc | Chiropractor | 125 W Michigan Ave, Grass Lake, MI 49240-9188 | 2008-07-24 |
| 1447413380 | Daniel Nelson Mikel | Chiropractor | 125 W Michigan Ave, Grass Lake, MI 49240-9188 | 2008-07-09 |
| 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 | GRASS LAKE |
| Zip Code | 49240 |
Please comment or provide details below to improve the information on DR. IAN SHEPSTONE.
| 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.