Crossroads Chiropractic, PLLC
Organization Active NPI Chiropractor · Cement City, MI
NPI 1619733763 · NPPES record last updated Apr 16, 2024
Key facts
- NPI
- 1619733763
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- CROSSROADS CHIROPRACTIC, PLLC
- Practice address
- 18875 E Chicago Rd
Cement City, MI 49233-9005 - Phone
- (517) 442-4805
- NPI assigned
- Feb 26, 2024
- Organization subpart
- No
Authorized official
- Name
- Jordan Lincoln Bach, DC
- Title
- Owner
- Phone
- (517) 740-5485
Practitioners 2
-
Jordan L Bach, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240503001921 | MI | Part B Supplier - Clinic/Group Practice | 8921448234 |
Receives reassigned benefits from 1 practitioner Practice locations: Cement City, MI |
National Provider Directory
Locations
18875 E Chicago Rd
Cement City, MI 49233
Phone (517) 442-4805
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
18875 E Chicago Rd
Cement City, MI 49233-9005
Mailing address
18875 E Chicago Rd
Cement City, MI 49233-9005
Phone (517) 740-5485
Other names
- Crossroads Chiropractic
Other providers in Cement City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.