Great Lakes Family Chiropractic, Inc.

LBN: Great Lakes Family Chiropractic, Inc.
Great Lakes Family Chiropractic, Inc. is an health care organization with primary practice located at 3138 Broadmoor Ave Se , Kentwood MI 49512-1845. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Great Lakes Family Chiropractic, Inc. can be contacted via phone (616) 241-4040, or through Mckenzie, Douglas Gene via phone (616) 241-4040.

Contact Information

Primary practice address
3138 Broadmoor Ave Se Kentwood MI 49512-1845
Phone: (616) 241-4040
Fax: (616) 475-6953
Website:
Map and Directions
Authorized official contact:
Name: Mckenzie, Douglas Gene Doctor of Chiropractic (DC)
Phone: (616) 241-4040

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301008451 Michigan

Profile Details

NPI number 1811975717
LBN Legal business name Great Lakes Family Chiropractic, Inc.
DBA Doing business as
Authorized official Mckenzie, Douglas Gene Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811975717 NPPES
Michigan MEDICAID 4754106

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