Great Lakes Family Chiropractic Center,PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC005135L Issued in PA

Legal business name

GREAT LAKES FAMILY CHIROPRACTIC CENTER,PC

Practice address

1009 E 38TH St
Erie, PA 16504-1843

Phone

(814) 824-6442

Fax

(814) 824-4007

NPI assigned

Feb 15, 2008

Last updated

Jul 8, 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

Mrs. Lynne E Hulse

Title

Office Manager

Phone

(814) 824-6442

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 5

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.

• Ashlyn Hulse, DC

  • Chiropractor
  • Erie, PA
  • NPI 1952903932
  Medicare reassignment Care Compare group NPD
• Adam Julian Renshaw, DC

  • Chiropractor
  • Erie, PA
  • NPI 1578138400
  Medicare reassignment Care Compare group NPD
• Richard Eugene Hulse Jr., DC

  • Chiropractor
  • Erie, PA
  • NPI 1184782559
  Medicare reassignment NPD
• Victoria Alexis Hulse, DC

  • Chiropractor
  • Erie, PA
  • NPI 1326613233
  Medicare reassignment NPD
• Christopher Allen Koziarski, D.C.

  • Chiropractor
  • Knox, PA
  • NPI 1790058394
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1407024144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041843",
            "telephone_number": "814-824-6442",
            "fax_number": "814-824-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 E 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165041843",
            "telephone_number": "814-824-6442",
            "fax_number": "814-824-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES FAMILY CHIROPRACTIC CENTER,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "HULSE",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-824-6442",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005135L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1394234",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Gray
• Danielle Marie Gray
• Kolbe Gray, LPC
• Erica Grazioli, DO
• Great Lakes Anesthetists
• Great Lakes Holistic Counseling
• Greater Erie Community Action Committee (Area Agency on Aging)
• Greater Erie Community Action Committee (GECAC D&A Services)
• Greater Erie Community Action Committee
• Greater Erie Surgery Center, LLC

• Chiropractor in Erie, PA
• Providers in Erie, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.