Chiropractic 4 Life

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

Legal business name

CHIROPRACTIC 4 LIFE

Practice address

17526 W 7 Mile Rd
Detroit, MI 48235-3045

Phone

(313) 889-1625

NPI assigned

Sep 3, 2024

Organization subpart

No

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

Authorized official

Name

Jean Laine, DCNPI 1972792760

Title

President

Phone

(917) 803-3818

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jean Laine

  • Rehabilitation Chiropractor
  • Brooklyn, NY
  • NPI 1972792760
  NPD Authorized official

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1174358915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17526 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353045",
            "telephone_number": "313-889-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17526 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353045",
            "telephone_number": "313-889-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC 4 LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "LAINE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-803-3818",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prateek Varma Chintalapati
• Angela Chiodo, CNM
• Rohan Srinivas Chippada, MBBS
• Katie Elizabeth Chipungu, PH.D.
• Jennifer Chirgwin, MSW
• Babysarojini Chirumamilla, M.D
• April Dawn Chisholm, M.S.
• Maxwell Francis Chisholm, LMSW
• Tahnia Chism
• Darrell Chisolm

• Internist Chiropractor in Detroit, MI
• Providers in Detroit, MI by specialty
• Internist Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.