Wellspine PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009697 Issued in MI

Legal business name

WELLSPINE PC

Doing business as

WellSpine Chiropractic

Practice address

8187 Rhode Dr Ste a
Shelby Township, MI 48317-3279

Phone

(586) 731-1188

Fax

(586) 731-1184

NPI assigned

Sep 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Keith Guthrie, DC

Title

President Wellspine PC

Phone

(586) 731-1188

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• WellSpine Chiropractic Doing business as

Medicare enrollment (NPD)

Not enrolled

Locations

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1376892323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8187 RHODE DR STE A",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483173279",
            "telephone_number": "586-731-1188",
            "fax_number": "586-731-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8187 RHODE DR STE A",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483173279",
            "telephone_number": "586-731-1188",
            "fax_number": "586-731-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "GUTHRIE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT WELLSPINE PC",
        "authorized_official_telephone_number": "586-731-1188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "OH70204",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12153410",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1285942136",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellSpine Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Louise-Elizabeth Wedemeyer
• Janna Weekhout, P.T.
• Kylie Weiss
• Sarah Weiss, PT
• Tracy Wells
• Wellstreet of Georgia PC
• Welltower Opco Group LLC (Sunrise Assisted Living of Shelby TWP.)
• Alexandria Jean Wenskay, M.A., CCC-SLP
• Kenneth Paul Werner, M.S., L.L.P.
• Luke A Westlake

• Chiropractor in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.