Kevin E Ireland, D.C.
Individual provider Active NPI Chiropractor · Menominee, MI
NPI 1497895643 · NPPES record last updated Jan 30, 2024
Key facts
- NPI
- 1497895643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301008192 (MI)
- Practice address
- 534 1St St
Menominee, MI 49858-3202 - Phone
- (906) 863-4482
- Fax
- (906) 863-5303
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2710 Cahill Rd
Marinette, WI 54143-3869
Phone (715) 504-2074
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120605000739 | WI | Practitioner - Chiropractic | 9739197203 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301008192 | MI | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301008192 | MI | Yes |
Addresses
Primary practice location
534 1St St
Menominee, MI 49858-3202
Mailing address
420 Hemlock St
Peshtigo, WI 54157-1164
Phone (715) 582-4474
Other providers in Menominee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2024. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.