Northwest Chiropractic Life Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301002595 Issued in MI

Legal business name

NORTHWEST CHIROPRACTIC LIFE CENTER PC

Practice address

645 Saint Clair Ave
Jackson, MI 49202-2024

Phone

(517) 784-9123

Fax

(517) 784-9150

NPI assigned

Apr 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth S.J. Murkowski, D.C.

Title

Owner

Phone

(517) 784-9123

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1073788238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 SAINT CLAIR AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022024",
            "telephone_number": "517-784-9123",
            "fax_number": "517-784-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 SAINT CLAIR AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022024",
            "telephone_number": "517-784-9123",
            "fax_number": "517-784-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST CHIROPRACTIC LIFE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "MURKOWSKI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "S.J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-784-9123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301002595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1057984-11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.