BACK TO HEALTH CHIROPRACTIC - PORTAGE PC (NPI# 1851562409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851562409 |
| Entity Type | Organization |
| Organization Name | BACK TO HEALTH CHIROPRACTIC - PORTAGE PC |
| Other Organization Name | PORTAGE FAMILY CHRIOPRACTIC |
| Practice Address |
1930 W Milham Ave Suite D Portage MI 49024-2228 |
| Practice Telephone | 2693452273 |
| Practice Fax Number | 2693452090 |
| Mailing Telephone | 2693452273 |
| Mailing Fax Number | 2693452090 |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2019-06-27 |
| Authorized Official Name | ANNA SCHEUNEMAN (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2693452273 |
| Authorized Official Credential | DC |
| 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 | 4344547 | 05 |
| Other Name | Type Code |
|---|---|
| Portage Family Chriopractic | Former Legal Business Name - Organization |
| Street Address |
1930 W MILHAM AVE SUITE D |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-2228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548628316 | Paul Schuette | Hearing Instrument Specialist | 1930 W Milham Ave, Portage, MI 49024-2228 | 2016-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| 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 |
|---|---|---|---|---|
| 1356975775 | Kalamazoo Chiropractic & Rehabilitation | Chiropractor | 3275 Cooley Ct Ste 150, Portage, MI 49024-7432 | 2020-02-25 |
| 1811548555 | Michael Thomas Martini | Chiropractor | 1930 W Milham Ave Ste D, Portage, MI 49024-2228 | 2019-09-24 |
| 1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
| 1023405016 | Ryan Ball | Chiropractor | 5228 Lovers Ln Ste 110, Portage, MI 49002-1521 | 2015-04-17 |
| 1225434871 | Sarah Malarney | Chiropractor | 3920 W Centre Ave, Portage, MI 49024-4634 | 2014-11-10 |
| 1730429838 | Living Well Chiropractic Center | Chiropractor | 6040 S 12th St, Suite B, Portage, MI 49024-1752 | 2013-02-26 |
| 1245588847 | Community Chiropractic Spine Center | Chiropractor | 6325 Central Avenue, Portage, IN 46368-3801 | 2012-08-29 |
| 1831469865 | Ronald L Warner | Chiropractor | 5919 Portage Rd, Portage, MI 49002-1726 | 2012-01-06 |
| 1528360351 | A Chiro-effect Chiropractic LLC | Chiropractor | 7117 S Westnedge Ave Ste 3, Portage, MI 49002-4201 | 2010-11-30 |
| 1386876944 | Jeffrey Edward Wiederhold | Chiropractor | 7117 S Westnedge Ave, Suite #3, Portage, MI 49002-4201 | 2009-08-17 |
| Find all providers in PORTAGE | ||||
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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.