Coston Chiropractic Center PLLC
Organization Active NPI Chiropractor · Mason, MI
NPI 1477973030 · NPPES record last updated Dec 9, 2020
Key facts
- NPI
- 1477973030
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301010201 (MI)
- Legal business name
- COSTON CHIROPRACTIC CENTER PLLC
- Practice address
- 801 N Cedar Rd
Mason, MI 48854-9572 - Phone
- (517) 526-3831
- NPI assigned
- Apr 22, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Alan Coston Jr., DC
- Title
- President
- Phone
- (517) 676-3117
Practitioners 3
-
Alan Coston Jr., D.C.
-
Levi J Pulver, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140521000200 | MI | Part B Supplier - Clinic/Group Practice | 8426271453 |
Receives reassigned benefits from 1 practitioner Practice locations: Mason, MI |
National Provider Directory
Locations
105 W Superior St
Alma, MI 48801
Phone (989) 463-5100
801 N Cedar Rd
Mason, MI 48854
Phone (517) 676-3117
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2301010201 | MI | Yes |
Addresses
Primary practice location
801 N Cedar Rd
Mason, MI 48854-9572
Mailing address
801 N Cedar Rd
Mason, MI 48854-9572
Phone (517) 676-3117
Other practice location 1
114 S 2nd St
Fowlerville, MI 48836-5116
Phone (517) 223-9900
Other providers in Mason, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2020. 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.