Marshall Chiropractic Life Center, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4380 Issued in MI

Legal business name

MARSHALL CHIROPRACTIC LIFE CENTER, P.C.

Practice address

420 E Michigan Ave
Marshall, MI 49068-1667

Phone

(269) 781-7000

Fax

(269) 781-2522

NPI assigned

Jan 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Philip L Knight, D.C.

Title

President

Phone

(269) 781-7000

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003972134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681667",
            "telephone_number": "269-781-7000",
            "fax_number": "269-781-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681667",
            "telephone_number": "269-781-7000",
            "fax_number": "269-781-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL CHIROPRACTIC LIFE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-781-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "4380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK GROUP #",
            "identifier": "G02572",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1387380",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah E. Mannes
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• Mark D Richardson MD PC
• Marshall Area Firefighters Ambulance Authority
• Marshall City Pharmacy Inc
• Marshall Eye Care P.C.
• Marshall Family Dentistry PLLC
• Marshall Internal and Family Medicine
• Marshall Medical Associates PC

• Chiropractor in Marshall, MI
• Providers in Marshall, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.