Petsch Chiropractic Center PC
Organization Active NPI Chiropractor · Whitehall, MI
NPI 1649305673 · NPPES record last updated Jan 24, 2013
Key facts
- NPI
- 1649305673
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301400102 (MI)
- Legal business name
- PETSCH CHIROPRACTIC CENTER PC
- Practice address
- 104 W Colby St
Whitehall, MI 49461-2005 - Phone
- (231) 894-2900
- Fax
- (231) 893-1144
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Philip Frank Petsch, D.C.
- Title
- President
- Phone
- (231) 894-2900
Practitioners 3
-
Philip F. Petsch, D.C.
-
Rhonda Voss Petsch, D.C.
-
Karen Ann Monroy, D.D.S.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040930001137 | MI | Part B Supplier - Clinic/Group Practice | 9335118843 |
Receives reassigned benefits from 2 practitioners Practice locations: Whitehall, MI |
National Provider Directory
Locations
104 W Colby St
Whitehall, MI 49461
Phone (231) 893-6075
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2301400102 | MI | Yes |
| Chiropractor |
111N00000X | 2301006906 | MI |
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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2013. 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.