Cherryland Chiropractic Centre PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301004541 Issued in MI

Legal business name

CHERRYLAND CHIROPRACTIC CENTRE PC

Practice address

1209 E 8TH St
Traverse City, MI 49686-2938

Phone

(231) 941-8650

Fax

(231) 941-8652

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Edward John Sekol, DC

Title

Chiropractor

Phone

(231) 941-8650

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1639281330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 E 8TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862938",
            "telephone_number": "231-941-8650",
            "fax_number": "231-941-8652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 E 8TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862938",
            "telephone_number": "231-941-8650",
            "fax_number": "231-941-8652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRYLAND CHIROPRACTIC CENTRE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "SEKOL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "231-941-8650",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0B811650",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0B812230",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2123743",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Austin Wren Chellis, DPT
• Cherry Bay Dental
• Cherry Bend Family Care, PLC
• Cherry Capital Cab LLC
• Cherry Hill Haven Inc.
• Sarah Juliana Chichester, PMHNP
• Erika Chick, CGC
• Child & Family Services of Northwestern Michigan, Inc.
• Lisa Chimner, MD
• Carlistie Jean Chingwa

• Chiropractor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.