Cooley Lake Neck and Back Care Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

COOLEY LAKE NECK AND BACK CARE CLINIC LLC

Practice address

2171 N Pontiac TRL
Commerce Township, MI 48390-3162

Phone

(248) 926-4050

Fax

(248) 926-4050

NPI assigned

Sep 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jason Limbacher, DC

Title

Owner

Phone

(248) 926-4050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1124336433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 N PONTIAC TRL",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483903162",
            "telephone_number": "248-926-4050",
            "fax_number": "248-926-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 N PONTIAC TRL",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483903162",
            "telephone_number": "248-926-4050",
            "fax_number": "248-926-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOLEY LAKE NECK AND BACK CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "LIMBACHER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-926-4050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; 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.