Edmore Chiropractic Clinic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301006849 Issued in MI

Legal business name

EDMORE CHIROPRACTIC CLINIC, PLLC

Practice address

215 W Howard City Edmore Rd
Edmore, MI 48829-9779

Phone

(989) 427-5551

Fax

(989) 427-3102

NPI assigned

Jul 28, 2006

Last updated

Jul 22, 2008By 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

Dr. Jeffrey Kenneth Lee, D.C.NPI 1023042678

Title

Owner/Operator

Phone

(989) 427-5551

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Kenneth Lee, D.C.

  • Chiropractor
  • Edmore, MI
  • NPI 1023042678
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1124032040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W HOWARD CITY EDMORE RD",
            "city": "EDMORE",
            "state": "MI",
            "postal_code": "488299779",
            "telephone_number": "989-427-5551",
            "fax_number": "989-427-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W HOWARD CITY EDMORE RD",
            "city": "EDMORE",
            "state": "MI",
            "postal_code": "488299779",
            "telephone_number": "989-427-5551",
            "fax_number": "989-427-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMORE CHIROPRACTIC CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "989-427-5551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Jo Barnes
• Stephanie E Boring, PA
• Jodie Ann Brigham
• Countryside Drug Company III (Countryside Pharmacy)
• Jenna Droste, PA-C
• Edmore Family Dentistry
• Ralph Robert Elsner, RPH
• Carol Ann Evans, LPN
• Jennipher Lynn Gibbons
• Martha N Gichia, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.