GREGG CHIROPRACTIC LIFE CENTER NORTH P.C. (NPI# 1700947041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700947041 |
| Entity Type | Organization |
| Organization Name | GREGG CHIROPRACTIC LIFE CENTER NORTH P.C. |
| Practice Address |
1079 S Baldwin Rd Lake Orion MI 48360-1045 |
| Practice Telephone | 2483911600 |
| Practice Fax Number | 2483911624 |
| Mailing Telephone | 2483911600 |
| Mailing Fax Number | 2483911624 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT JAMES GREGG (PRESIDENT) |
| Authorized Official Telephone | 2483911600 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4935415 | 05 |
| Street Address |
1079 S BALDWIN RD |
| City | LAKE ORION |
| State | MI |
| Zip Code | 48360-1045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982015400 | Mccartney Family Chiropractic and Wellness PC | Chiropractor | 1079 S Baldwin Rd, Lake Orion, MI 48360-1045 | 2014-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124409446 | Kyle Vires | Licensed Practical Nurse | 2271 Geyer Ct, Lake Orion, MI 48360 | 2015-06-11 |
| 1871931592 | Ihsan Asbahi | Anesthesiology | 1234 S Lapeer Rd, Lake Orion, MI 48360 | 2013-06-05 |
| 1205119567 | Michigan Bone and Joint Center | Orthopaedic Surgery | 1251 S. Lapeer Rd., Suite #102, Lake Orion, MI 48360 | 2011-09-23 |
| 1629226139 | Travis L Summerville | Physical Therapist | 1298 Walloon Way, Lake Orion, MI 48360 | 2008-09-09 |
| 1982878609 | Audrey Vizzaccaro | Physician Assistant | 1261 South Lapeer Rd, Ste 201, Lake Orion, MI 48360 | 2008-04-14 |
| 1881872265 | H & L Drugs Inc | Durable Medical Equipment & Medical Supplies | 1455 S Lapeer, Suite 101, Lake Orion, MI 48360 | 2008-02-07 |
| 1598952129 | Oakland Psychological Clinic, P.C. | Counselor | 1455 S Lapeer Rd Ste 175n, Lake Orion, MI 48360 | 2007-09-27 |
| 1700098704 | Laura Elizabeth Salome | Audiologist | 1176 S. Lapeer Rd, Lake Orion, MI 48360 | 2007-05-04 |
| 1780743658 | Frank James Iulianelli | Chiropractor | 2523 South Lapeer Road, Lake Orion, MI 48360 | 2006-12-07 |
| 1942377122 | James C Komendera Dds PC | Dentist | 1135 S Lapeer Rd, Lake Orion, MI 48360 | 2006-11-30 |
| Find all providers in zip 48360 | ||||
| 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 |
|---|---|---|---|---|
| 1114364973 | Kevin R Naborczyk | Chiropractor | 197 N Park Blvd, Lake Orion, MI 48362-3147 | 2013-06-03 |
| 1568763597 | Jason T Olafsson | Chiropractor | 3631 S Baldwin Rd, Lake Orion, MI 48359-1506 | 2010-11-08 |
| 1780743658 | Frank James Iulianelli | Chiropractor | 2523 South Lapeer Road, Lake Orion, MI 48360 | 2006-12-07 |
| 1902989320 | Loren Mark Brett | Chiropractor | 857 N Lapeer Rd, Lake Orion, MI 48361 | 2006-10-21 |
| 1659311371 | Jeffery Allen Clark | Chiropractor | 2991 S Baldwin Rd, Lake Orion, MI 48360-1665 | 2006-06-08 |
| 1932184827 | Sam Caruso | Chiropractor | 25 S Lapeer St, Lake Orion, MI 48362-3167 | 2005-12-13 |
| 1558829788 | Jason Ronald Naborczyk | Chiropractor | 197 N Park Blvd, Lake Orion, MI 48362-3147 | 2019-03-06 |
| 1194234336 | Jolene D Patterson | Chiropractor | 25 S Lapeer St, Lake Orion, MI 48362-3182 | 2017-09-20 |
| 1346697299 | Kevin R Naborczyk Pllc | Chiropractor | 197 N Park Blvd, Lake Orion, MI 48362-3147 | 2016-05-20 |
| 1982015400 | Mccartney Family Chiropractic and Wellness PC | Chiropractor | 1079 S Baldwin Rd, Lake Orion, MI 48360-1045 | 2014-05-19 |
| Find all providers in LAKE ORION | ||||
| City | LAKE ORION |
| Zip Code | 48360 |
Please comment or provide details below to improve the information on GREGG CHIROPRACTIC LIFE CENTER NORTH P.C..
| 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.