Philip F. Petsch, D.C.
Individual provider Active NPI Nutrition Chiropractor · Whitehall, MI
NPI 1619952496 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1619952496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutrition Chiropractor 111NN1001X
- License
- 2301400102 (MI)
- Practice address
- 104 W Colby St
Whitehall, MI 49461-2005 - Phone
- (231) 894-2900
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041001000443 | MI | Practitioner - Chiropractic | 2961471479 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 2301400102 | MI | Yes |
Addresses
Primary practice location
104 W Colby St
Whitehall, MI 49461-2005
Mailing address
104 W Colby St
Whitehall, MI 49461-2005
Phone (231) 894-2900
Other providers in Whitehall, MI
- Jacob Ottati
- Mark Robert Parrish
- Patricia a Wood Employee Assistance Services LLC
- James Martin Petersen
- Petsch Chiropractic Center PC
- Rhonda Voss Petsch
- Christie Phillips
- Pinewood Retirement Home Inc
- Pitkin Rexall Drug Company
- Pitkin Rexall Drug Company
All providers in Whitehall, MI · Nutrition Chiropractor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. 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.