Cousineau Chiropractic Center PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008123 Issued in MI

Legal business name

COUSINEAU CHIROPRACTIC CENTER PLLC

Practice address

997 N Center Ave
Gaylord, MI 49735

Phone

(989) 732-2225

Fax

(989) 731-6776

NPI assigned

Feb 1, 2008

Last updated

Feb 1, 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

Shane M Cousineau, DCNPI 1871522961

Title

President

Phone

(989) 732-2225

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

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.

• Shane Michael Cousineau, D.C.

  • Chiropractor
  • Gaylord, MI
  • NPI 1871522961
  Medicare reassignment Care Compare group NPD Authorized official
• Evan J Perry, D.C.

  • Chiropractor
  • Rockford, MI
  • NPI 1073856621
  Medicare reassignment Care Compare group NPD
• George C S Young, DC

  • Chiropractor
  • Munising, MI
  • NPI 1902953326
  NPD (past)
• Scott Christopher Manns, D.C.

  • Chiropractor
  • Mexico, MO
  • NPI 1003826165
  NPD (past)

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1164600086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 N CENTER AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "49735",
            "telephone_number": "989-732-2225",
            "fax_number": "989-731-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 N CENTER AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "49735",
            "telephone_number": "989-732-2225",
            "fax_number": "989-731-6776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUSINEAU CHIROPRACTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "COUSINEAU",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-732-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008758",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Allan Cosgrove, P.T.
• Terrance Mark Cottle, M.A., L.M.S.W.
• Stacy Lynn Couch, LLMSW
• Patricia Lynn Coultes, BSW
• Emilyjo Rena Courterier, NP
• Donald Paul Cousineau, DO, PC
• Shane Michael Cousineau, D.C.
• Ryan Christopher Coy, MD
• Patricia S Crist, LBSW
• Samantha Marie Cronk, AGACNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.