Heiserman Family Chiropractic LLC
Organization Active NPI Chiropractor · Dundee, MI
NPI 1063003010 · NPPES record last updated Feb 2, 2021
Key facts
- NPI
- 1063003010
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- HEISERMAN FAMILY CHIROPRACTIC LLC
- Practice address
- 498 E Monroe St
Dundee, MI 48131-1321 - Phone
- (734) 529-8600
- Fax
- (734) 529-8620
- NPI assigned
- Feb 2, 2021
- Organization subpart
- No
Authorized official
- Name
- Nicholas Heiserman, DC
- Title
- Owner
- Phone
- (734) 529-8600
Practitioners 5
-
Derek Patrick Kaczor, D.C
-
Kenneth David Harless, D.C.
-
James Marshall Newbern, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210211001238 | MI | Part B Supplier - Clinic/Group Practice | 2466867130 |
Receives reassigned benefits from 1 practitioner Practice locations: Dundee, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
498 E Monroe St
Dundee, MI 48131-1321
Mailing address
498 E Monroe St
Dundee, MI 48131-1321
Phone (734) 529-8600
Other providers in Dundee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2021. 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.