Great Lakes Administrative Services LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GREAT LAKES ADMINISTRATIVE SERVICES LLC

Doing business as

Great Lakes Pain & Injury Chiropractic Center

Practice address

1645 S Wayne Rd
Westland, MI 48186-5621

Phone

(734) 728-7246

NPI assigned

Apr 22, 2008

Last updated

Jul 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

Vanessa Arias

Title

Owner

Phone

(734) 728-7246

Specialties & licenses 1

Addresses

Other names 1

• GREAT LAKES PAIN & INJURY CHIROPRACTIC CENTER Doing business as

Locations

Practitioners 2

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.

• Alan Wayne Dore, M.D.

  • Chiropractor
  • Westland, MI
  • NPI 1841464740
  NPD (past)
• Temitope Oluwole Fatiregun, B.SC RPT

  • Physical Therapist
  • Detroit, MI
  • NPI 1023126190
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1255505160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36500 FORD RD # 159",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 S WAYNE RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865621",
            "telephone_number": "734-728-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES ADMINISTRATIVE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "ARIAS",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-728-7246"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREAT LAKES PAIN & INJURY CHIROPRACTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robyn Gothelf, LMSW, EDM
• Yelena Gouseinov, LMSW
• Sondra Lea Grafmiller
• Gary Lee Graham, NP
• Joanne Celia Gray
• Greater Detroit Physical Therapy (Merriman Medical Center)
• Greater Detroit Physical Therapy & Rehabilitation PC (Laran Lerner, D.O.)
• Greater Metropolitan Services LLC
• Devin Green
• Greenvine Medical Staffing Group

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.