Health & Fitness for Life, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007097

Legal business name

HEALTH & FITNESS FOR LIFE, LLC

Doing business as

Lifestyle Chiropractic

Practice address

7652 Red Arrow Hwy
Watervliet, MI 49098-9396

Phone

(269) 463-4100

NPI assigned

Apr 13, 2012

Last updated

Apr 13, 2012By 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

Andrew A Dehaven, D.C.NPI 1093764292

Title

Chiropractor

Phone

(269) 463-4100

Specialties & licenses 1

Addresses

Other names 1

• Lifestyle Chiropractic Doing business as

Locations

Practitioners 1

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.

• Andrew A Dehaven, D.C.

  • Chiropractor
  • Watervliet, MI
  • NPI 1093764292
  Authorized official Same address or phone

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334275200000",
    "number": "1528325669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "490980245",
            "telephone_number": "269-463-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7652 RED ARROW HWY",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "490989396",
            "telephone_number": "269-463-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH & FITNESS FOR LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A",
        "authorized_official_last_name": "DEHAVEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "269-463-4100",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": "2301007097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifestyle Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Klaudia Freislinger
• Maholla Fuller, MA, CCC-SLP
• Cynthia J Garrone, D.C.
• Great Lakes Anesthesia
• Renee Marie Hardman, PT
• Lindsey Catherine Healy, MD
• Victor Holland
• Alexis M Izumi, P.A.
• Michael Earl Kelly, D.O.
• Lakeland Community Hospital Watervliet

• Chiropractor in Watervliet, MI
• Providers in Watervliet, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.