Advanced Chiropractic of Berrien Springs

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301004493 Issued in MI

Legal business name

ADVANCED CHIROPRACTIC OF BERRIEN SPRINGS

Practice address

200 N Cass St
Berrien Springs, MI 49103-1161

Phone

(269) 471-5433

Fax

(269) 471-1209

NPI assigned

Aug 30, 2011

Last updated

Aug 30, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard E Stowe, DC

Title

Owner

Phone

(269) 471-5433

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1003197443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N CASS ST",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031161",
            "telephone_number": "269-471-5433",
            "fax_number": "269-471-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N CASS ST",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031161",
            "telephone_number": "269-471-5433",
            "fax_number": "269-471-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CHIROPRACTIC OF BERRIEN SPRINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "STOWE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-471-5433",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "95-0A112100",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Berrien Springs, MI
• Providers in Berrien Springs, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.