Pure Family Chiropractic
Organization Active NPI Clinic/Center · Newberry, MI
NPI 1316611197 · NPPES record last updated Aug 4, 2021
Key facts
- NPI
- 1316611197
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- PURE FAMILY CHIROPRACTIC
- Practice address
- 207 W John St
Newberry, MI 49868-1126 - Phone
- (906) 291-2323
- NPI assigned
- Aug 4, 2021
- Organization subpart
- No
Authorized official
- Name
- Dr. Stephanie Zellar, DC
- Title
- Owner
- Phone
- (906) 286-0163
Practitioners 2
-
Stephanie Anderson, D.C
-
Kristin Anne Hieshetter, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210909002766 | MI | Part B Supplier - Clinic/Group Practice | 6800292269 |
Receives reassigned benefits from 1 practitioner Practice locations: Pellston, MI |
National Provider Directory
Locations
207 W John St
Newberry, MI 49868
Phone (906) 291-2323
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
207 W John St
Newberry, MI 49868-1126
Mailing address
207 W John St
Newberry, MI 49868-1126
Phone (906) 286-0163
Other providers in Newberry, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2021. 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.