Dawson Family Chiropractic Practice
Organization Active NPI Chiropractor · Marshall, MI
NPI 1043764558 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1043764558
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- DAWSON FAMILY CHIROPRACTIC PRACTICE
- Practice address
- 1170 W Michigan Ave
Marshall, MI 49068-8545 - Phone
- (269) 781-7000
- Fax
- (269) 781-2522
- NPI assigned
- Aug 12, 2016
- Organization subpart
- No
Authorized official
- Name
- Brent Dawson, DC
- Title
- Owner
- Phone
- (269) 781-7000
Practitioners 4
-
Harmony Susan Dawson, D.C.
-
Kye Matherne, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160912002355 | MI | Part B Supplier - Clinic/Group Practice | 6103112420 |
Receives reassigned benefits from 4 practitioners Practice locations: Battle Creek, MI; Marshall, MI |
National Provider Directory
Locations
510 Columbia Ave E
Battle Creek, MI 49014
Phone (269) 979-2566
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
1170 W Michigan Ave
Marshall, MI 49068-8545
Mailing address
1170 W Michigan Ave
Marshall, MI 49068-8545
Phone (269) 781-7000
Other names
- Marshall Chiropractic Life Center
Other providers in Marshall, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.