Denholm Family Chiropractic, PC
Organization Active NPI Chiropractor · Grayling, MI
NPI 1568401974 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1568401974
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- CD005021 (MI)
- Legal business name
- DENHOLM FAMILY CHIROPRACTIC, PC
- Practice address
- 6838 M 93 Hwy S
Grayling, MI 49738-7766 - Phone
- (989) 348-6600
- Fax
- (989) 348-3537
- NPI assigned
- Jun 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Craig Bruce Denholm, DC
- Title
- President/Owner
- Phone
- (989) 348-6600
Practitioners 7
-
Kyle Martin Denholm, D. C. B. S.
-
Kelsie Fraser, LMT
-
Gary Hasson, LMT
-
Sandra Hasson, LMT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070702000217 | MI | Part B Supplier - Clinic/Group Practice | 7113026295 |
Receives reassigned benefits from 2 practitioners Practice locations: Grayling, MI |
National Provider Directory
Locations
6838 M 93 Hwy S
Grayling, MI 49738
Phone (989) 348-6600
Interoperability endpoints
- 1doc@dfc0003.direct.chirotouch.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | CD005021 | MI | Yes |
Addresses
Primary practice location
6838 M 93 Hwy S
Grayling, MI 49738-7766
Mailing address
6838 M 93 Hwy S
Grayling, MI 49738-7766
Phone (989) 348-6600
Other providers in Grayling, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 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.