Ireland Family Chiropractic
Organization Active NPI Clinic/Center · Menominee, MI
NPI 1164620126 · NPPES record last updated Jan 30, 2024
Key facts
- NPI
- 1164620126
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 2301008192 (MI)
- Legal business name
- IRELAND FAMILY CHIROPRACTIC
- Practice address
- 534 1St St
Menominee, MI 49858-3202 - Phone
- (906) 863-4482
- NPI assigned
- Jul 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Kevin Ireland, D.C.
- Title
- President
- Phone
- (906) 863-4482
Practitioners 4
-
Kevin E Ireland, D.C.
-
Sandra L. Ireland, D.C.
-
Martin S Laurila, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120605000703 | WI | Part B Supplier - Clinic/Group Practice | 4385652858 |
Receives reassigned benefits from 1 practitioner Practice locations: Marinette, WI |
National Provider Directory
Locations
2710 Cahill Rd
Marinette, WI 54143
Phone (715) 504-2074
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 2301008192 | MI | Yes |
Addresses
Primary practice location
534 1St St
Menominee, MI 49858-3202
Mailing address
534 1St St
Menominee, MI 49858-3202
Other providers in Menominee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2024. 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.