ST JOHN CHIROPRACTIC CLINIC (NPI# 1801968250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801968250 |
| Entity Type | Organization |
| Organization Name | ST JOHN CHIROPRACTIC CLINIC |
| Practice Address |
3020 Richfield Rd Flint MI 48506-2472 |
| Practice Telephone | 8107362360 |
| Practice Fax Number | 8107362399 |
| Mailing Telephone | 8107362360 |
| Mailing Fax Number | 8107362399 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JEFFREY SCOTT GREEN (OWNER) |
| Authorized Official Telephone | 8107362360 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | JG007044 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3411331 | 05 |
| Street Address |
3020 RICHFIELD RD |
| City | FLINT |
| State | MI |
| Zip Code | 48506-2472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407928849 | Jeffrey Scott Green | Chiropractor | 3020 Richfield Rd, Flint, MI 48506-2472 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629453725 | Sydney Wilson | Case Manager/Care Coordinator | 1526 Utah Ave, Flint, MI 48506 | 2015-07-30 |
| 1790199313 | Laurel Anne Paradise-bumhoffer | Nurse Practitioner | 3807 North Center Road, Flint, MI 48506 | 2014-06-12 |
| 1285982520 | Andrea Ann Rossi | Nurse Practitioner | 4302 Underhill Drive, Flint, MI 48506 | 2012-08-16 |
| 1134433329 | Shelia Evette Tucker | Social Worker | 3807 North Center Rd, Flint, MI 48506 | 2010-07-30 |
| 1851629125 | Amber Mayhew Homecare | Occupational Therapist | 5503 Mcnamara Lane, Flint, MI 48506 | 2009-11-25 |
| 1285872093 | Sherrie A Medling | Registered Nurse | 2811 E Court, Flint, MI 48506 | 2009-02-02 |
| 1013121631 | Jeffrey Wade Anderson | Occupational Therapist | 3011 North Center Road, Briarwood Manor, Flint, MI 48506 | 2007-05-10 |
| 1396803508 | Kalman J Knizner | Dentist | 5529 Richfield Rd, Flint, MI 48506 | 2006-12-04 |
| 1427151679 | Gertrude Burton Rutherford | Social Worker | 4302 Underhill Dr, Flint, MI 48506 | 2006-09-06 |
| 1164532966 | Bethany Lynn Pummill | Nurse Practitioner | 3011 North Center Rd, Flint, MI 48506 | 2006-08-30 |
| Find all providers in zip 48506 | ||||
| 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 |
|---|---|---|---|---|
| 1124561311 | Adam James Macdonald | Chiropractor | 5154 Miller Rd Ste J, Flint, MI 48507-1069 | 2016-11-21 |
| 1891128237 | Robert H Goeckel Dc LLC | Chiropractor | 4306 Richfield Rd, Flint, MI 48506-2022 | 2013-08-20 |
| 1922359348 | Chiropractic Convenience Care PC | Chiropractor | 7163 Granada Dr, Flint, MI 48532-3025 | 2012-09-25 |
| 1336469139 | New Era Pt Services | Chiropractor | G4007 W Court St Ste G2, Flint, MI 48532-3560 | 2010-06-03 |
| 1144553397 | Kingsley L. Sigafus. Dc., PC | Chiropractor | 3411 Corunna Rd, Flint, MI 48503-3265 | 2009-09-04 |
| 1104083195 | David Lee Panek | Chiropractor | 3411 Corunna Rd., Flint, MI 48503-3265 | 2008-05-19 |
| 1376743054 | Brian F Falk Dc PC | Chiropractor | 6004 Torrey Rd Ste F, Flint, MI 48507-3800 | 2007-07-20 |
| 1396941662 | Otisville Chiropractic Center PC | Chiropractor | 3413 Corunna Rd, Flint, MI 48503-3265 | 2007-06-25 |
| 1902929888 | Jason Joseph Sefa | Chiropractor | 3302 Pencombe Pl, Flint, MI 48503-2351 | 2007-04-07 |
| 1104956994 | Jack W Kribs | Chiropractor | 4541 Beecher Rd, Flint, MI 48532-2616 | 2007-03-07 |
| Find all providers in FLINT | ||||
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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.