Countryside Chiropractic Center Plc
LBN: Countryside Chiropractic Center Plc
Countryside Chiropractic Center Plc is an health care organization with primary practice located at 2100 S Clare Ave , Clare MI 48617-9755. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Countryside Chiropractic Center Plc can be contacted via phone (989) 386-2931, or through Jaco, Lisa M via phone (989) 386-2931.
Contact Information
Primary practice address
2100 S Clare Ave
Clare MI 48617-9755
Phone: (989) 386-2931
Fax: (989) 386-3509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2301008270 | Michigan |
Profile Details
| NPI number | 1053640912 |
|---|---|
| LBN Legal business name | Countryside Chiropractic Center Plc |
| DBA Doing business as | |
| Authorized official | Jaco, Lisa M Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 23rd, 2009 |
| Last updated | Dec 23rd, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053640912 | NPPES |
| Michigan | Other | 0A850110 | BLUE CROSS AND BLUE SHIELD OF MICHIGAN |
| Michigan | MEDICAID | 4282720 | BLUE CROSS AND BLUE SHIELD OF MICHIGAN |
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