DR. CHARLES FRED DECKER (NPI# 1659591709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659591709 |
| Entity Type | Individual |
| Full Name | DR. CHARLES FRED DECKER |
| Credential | DC |
| Practice Address |
1324 S Park St Ste 3 Kalamazoo MI 49001-2735 |
| Mailing Address |
913 N Dartmouth St Kalamazoo MI 49006-3304 |
| Practice Telephone | 2693812800 |
| Practice Fax Number | 2693812808 |
| Mailing Telephone | 2698737815 |
| Mailing Fax Number | 2693812808 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2012-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
2301009520 | MI | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477634434 | Charles Dwight Decker | Dentist | 36 Park Place, Brattleboro, VT 05345 | 2006-10-18 |
| 1710948690 | Charles Henry Decker | Chiropractor | 5570 Sanchez Dr Ste 100, San Jose, CA 95123-1119 | 2006-03-30 |
| Street Address |
1324 S PARK ST STE 3 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49001-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568004372 | Tiffany Malory | Counselor | 2030 Portage St., Kalamazoo, MI 49001 | 2019-10-14 |
| 1770050502 | Trevor F Eisaman | Chiropractor | 1324 S Park St Suite #3, Kalamazoo, MI 49001 | 2018-10-30 |
| 1104318369 | Marathon Health LLC | Nurse Practitioner | 3520 Covington Rd, Kalamazoo, MI 49001 | 2018-06-04 |
| 1407374580 | Joel Damian Burnett | Counselor | 401 Howard St., Kalamazoo, MI 49001 | 2017-09-08 |
| 1538686449 | Amber Dawn Beauchamp | Counselor | 401 S. Howard St., Kalamazoo, MI 49001 | 2017-08-23 |
| 1740645381 | Integrated Spine and Pain Center Pllc | Durable Medical Equipment & Medical Supplies | 1324 S. Park Street, Kalamazoo, MI 49001 | 2015-12-28 |
| 1366825317 | Abigail Rose Franklin- Bly | Social Worker | 1608 Lake St., Kalamazoo, MI 49001 | 2015-07-08 |
| 1194108142 | Glenn Pohl | Social Worker | 1608 Lake Street, Kalamazoo, MI 49001 | 2015-07-08 |
| 1285996850 | Aisha Coulson-walters | Social Worker | 1501 Fulford St, Kalamazoo, MI 49001 | 2012-06-11 |
| 1912279282 | Custom Carelink, L.L.C. | Home Health | 2300 Portage St., Apt. 127, Kalamazoo, MI 49001 | 2012-02-02 |
| Find all providers in zip 49001 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215583273 | Marc A Gusse | Chiropractor | 3845 Iris Dr, Waterford Township, MI 48329-1171 | 2019-08-15 |
| 1326690728 | Theodore M. Koukles Dc PC | Chiropractor | 44777 Hayes Rd Ste A, Sterling Heights, MI 48313-1421 | 2019-07-15 |
| 1285150888 | Northwest Chiropractic and Sports Medicine Pllc | Chiropractor | 14321 Northland Dr Ste 1, Big Rapids, MI 49307-2310 | 2017-08-16 |
| 1750768222 | Michael Justin Ramar | Chiropractor | 2061 25 Mile Rd, Shelby Township, MI 48316 | 2015-05-04 |
| 1932504958 | Shane William Pluger | Chiropractor | 2815 Michigan St Ne Ste C, Grand Rapids, MI 49506-1266 | 2014-11-03 |
| 1346662848 | American Chiropractic Medical Services LLC | Chiropractor | 621 Chartier Ste B, Marine City, MI 48039-2350 | 2014-01-17 |
| 1235443763 | Ryan Deubel | Chiropractor | 4627 Don St, Holt, MI 48842-1147 | 2010-07-26 |
| 1083889984 | Albion Chiropractic Clinic PC | Chiropractor | 404 E Michigan Ave, Albion, MI 49224-1845 | 2008-04-23 |
| 1891879318 | Dr. James K. Sommers, Inc, PC | Chiropractor | 2844 Baker Rd, Dexter, MI 48130-1114 | 2006-10-24 |
| 1821183740 | Albert Peter Sawaya | Chiropractor | 120 Commerce Ct, Gladwin, MI 48624-1220 | 2006-10-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. CHARLES FRED DECKER.
| 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.