Individual provider Active NPI

Leah Polzien, D.C.

  • Chiropractor
  • Laurium, MI
National Provider Identifier
1487945804
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009799 Issued in MI
Practice address
80 1St St
Laurium, MI 49913-2067
Phone
(906) 337-1200
Fax
(906) 337-1201
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009799 MI Primary

Addresses

Primary practice location

80 1St St
Laurium, MI 49913-2067

Mailing address

80 1St St
Laurium, MI 49913-2067
Phone (906) 337-1200

Other names 1

  • Leah Hallquist Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1487945804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 1ST ST",
            "city": "LAURIUM",
            "state": "MI",
            "postal_code": "499132067",
            "telephone_number": "906-337-1200",
            "fax_number": "906-337-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 1ST ST",
            "city": "LAURIUM",
            "state": "MI",
            "postal_code": "499132067",
            "telephone_number": "906-337-1200",
            "fax_number": "906-337-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLZIEN",
        "first_name": "LEAH",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "HALLQUIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laurium, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.