Great Lakes Scoliosis Center, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008704 Issued in MI

Legal business name

GREAT LAKES SCOLIOSIS CENTER, P.C.

Practice address

51210 Romeo Plank Rd
Macomb, MI 48042-4129

Phone

(586) 365-8988

NPI assigned

Jul 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jack Alonzo Moses Jr., D.C.

Title

Owner

Phone

(586) 365-8988

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1538398748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51210 ROMEO PLANK RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424129",
            "telephone_number": "586-365-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51210 ROMEO PLANK RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480424129",
            "telephone_number": "586-365-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES SCOLIOSIS CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "ALONZO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-365-8988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbi Jo Goodwine, PT, DPT, OMPT, CLT
• Tarnisha Gordon, LCSW
• Mrunal Gore, MSC., PT
• Jacob Gregory Grabowski, DPT, PT
• Great Lakes Foot & Ankle Institute PC
• Lyric L Green, MD
• Anne Grice
• Laura C Griskie, MA,CCC-SLP
• Michelle Gronowski
• Grosse Pointe Family Dentistry Macomb

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.