Lake Michigan Wellness PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008711 Issued in MI

Legal business name

LAKE MICHIGAN WELLNESS PLLC

Practice address

513 E 8TH St
Suite 12
Holland, MI 49423-3765

Phone

(616) 494-0204

NPI assigned

Feb 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Robert James Steck, DC

Title

Owner

Phone

(616) 399-2984

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1326344383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 ELIZABETH AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494245616",
            "telephone_number": "616-399-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 E 8TH ST",
            "address_2": "SUITE 12",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233765",
            "telephone_number": "616-494-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MICHIGAN WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "STECK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-399-2984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950G011540",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Lynn Lahaie, LMSW
• Elizabeth Annmarie Lahrman, BCBA; M.ED.
• Janet Laing, LMSW, CAADC, CCS-M
• Lake Michigan Anesthesia Staffing LLC
• Lake Michigan Dermatology PLLC
• Lakehsore Otolaryngology
• Lakeshore Allergy PC
• Lakeshore Area Radiation Oncology Center
• Lakeshore Eyecare Center PC
• Lakeshore Family Chiropractic, PLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.