Pavlov Chiropractic and Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009780 Issued in MI

Legal business name

PAVLOV CHIROPRACTIC AND WELLNESS LLC

Practice address

2847 Gratiot Blvd
Marysville, MI 48040-1497

Phone

(810) 216-6370

NPI assigned

Jun 25, 2018

Organization subpart

No

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

Authorized official

Name

Jennifer Pavlov, DC

Title

Owner

Phone

(810) 216-6370

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1588159495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2847 GRATIOT BLVD",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401497",
            "telephone_number": "810-216-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2847 GRATIOT BLVD",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401497",
            "telephone_number": "810-216-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVLOV CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "PAVLOV",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-216-6370",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Palmer
• Kristina Pamukov, D.O.
• Jennifer Panczyk
• Megan Marie Paolucci
• Tabitha M Patterson
• Alyssa Rose Pendergrass
• Sergio Perez I
• Ramica Pesta, DC
• Latyrrell Pettitt
• Talisha Pettitt

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.