SOUTH HAVEN CHIROPRACTIC CLINIC (NPI# 1962679670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962679670 |
| Entity Type | Organization |
| Organization Name | SOUTH HAVEN CHIROPRACTIC CLINIC |
| Practice Address |
1210 Phoenix St Suite 10 South Haven MI 49090-7913 |
| Mailing Address |
Po Box 621 Hartford MI 49057-0621 |
| Practice Telephone | 2696397200 |
| Practice Fax Number | 2696212556 |
| Mailing Telephone | 2696213800 |
| Mailing Fax Number | 2696212556 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |
| Authorized Official Name | DR. AHAD E. LOTFI (OWNER/CHIROPRACTOR) |
| Authorized Official Telephone | 2696397200 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | Y |
| Parent Organization Name | AHAD E. LOTFI, DC., PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301006100 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3427986 | 05 |
| Street Address |
1210 PHOENIX ST SUITE 10 |
| City | SOUTH HAVEN |
| State | MI |
| Zip Code | 49090-7913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740606292 | Eim Services LLC | General Practice | 1210 Phoenix St, Suite 6, South Haven, MI 49090-7913 | 2014-03-07 |
| 1356586531 | Universall Home Health Care, LLC. | Home Health | 1210 Phoenix St, Suite 6, South Haven, MI 49090-7913 | 2008-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295234490 | Katara Therapy, LLC | Social Worker | 13560 76th Street, Suite 3, South Haven, MI 49090 | 2018-02-03 |
| 1487022091 | Kevin E. Ferrell | Physician Assistant | 955 S. Bailey Avenue, South Haven, MI 49090 | 2015-09-14 |
| 1942638002 | Birdie Farley | Chore Provider | 26725 M-140 Hwy, South Haven, MI 49090 | 2013-10-28 |
| 1730514910 | Rebecca A. Bennett | Counselor | 1675 Phoenix Road, Suite 9, South Haven, MI 49090 | 2013-09-06 |
| 1902149818 | Bronson South Haven Hospital | Emergency Medicine | 970 S Bailey Ave, South Haven, MI 49090 | 2013-03-28 |
| 1265629927 | Cecilia Liz Vives Vasquez | Physical Therapist | 23701 Red Arrow Hwy, Mattawan, MI 49090 | 2007-09-26 |
| 1518089788 | Donald Jam,es Buckley | Pharmacist | 955 S Bailey, South Haven, MI 49090 | 2007-04-06 |
| 1366568966 | Norman M Maly | Dentist | 05055 Blue Star Hwy, South Haven, MI 49090 | 2007-03-22 |
| 1639264062 | Deborah Sue Distefano | Pharmacy Technician | 512 Phoenix Street, South Haven, MI 49090 | 2006-10-03 |
| 1053357897 | Stephen Earl Tolen | Chiropractor | 325 Superior St., South Haven, MI 49090 | 2006-06-21 |
| Find all providers in zip 49090 | ||||
| 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 |
|---|---|---|---|---|
| 1841633518 | Christine Nicole Taylor | Chiropractor | 418 Broadway St, South Haven, MI 49090-1421 | 2013-04-12 |
| 1356689012 | Justin Vassar | Chiropractor | 330 Kalamazoo St, Unit 3, South Haven, MI 49090-1388 | 2013-01-30 |
| 1366748923 | Ronald Maxwell Masters | Chiropractor | 1675 Phoenix St Ste 9, South Haven, MI 49090-8658 | 2011-01-31 |
| 1326236225 | Healthzone Chiropractic 3, PC | Chiropractor | 635 Conger St, South Haven, MI 49090-1476 | 2007-10-05 |
| 1093861585 | Richard E Oberheu | Chiropractor | 960 S Bailey Ave, South Haven, MI 49090-9701 | 2007-01-26 |
| 1184647240 | Karl James Krapf | Chiropractor | 1210 Phoenix St Ste 10, South Haven, MI 49090-7914 | 2006-07-26 |
| 1053357897 | Stephen Earl Tolen | Chiropractor | 325 Superior St., South Haven, MI 49090 | 2006-06-21 |
| 1205829660 | Melanie Ann Skindzier Gleiss | Chiropractor | 888 Phillips St, South Haven, MI 49090-1845 | 2005-08-31 |
| 1962907600 | Beyond The Spine Chiropractic & Massage Pllc | Chiropractor | 418 Broadway St, South Haven, MI 49090-1421 | 2018-03-26 |
| 1205372752 | Ppsh Chiropractic Clinics, Pllc | Chiropractor | 1210 Phoenix St Ste 10, South Haven, MI 49090-7914 | 2017-01-09 |
| Find all providers in SOUTH HAVEN | ||||
| City | SOUTH HAVEN |
| Zip Code | 49090 |
Please comment or provide details below to improve the information on SOUTH HAVEN CHIROPRACTIC CLINIC.
| 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.