Chiropractic Wellness Ctr Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

004182 Issued in MI

Legal business name

CHIROPRACTIC WELLNESS CTR INC

Practice address

1524 E Broadway St
Mount Pleasant, MI 48858-2933

Phone

(989) 773-9355

Fax

(989) 773-5594

NPI assigned

Apr 23, 2007

Last updated

Aug 20, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. George Brian Blunt, D.C.

Title

Doctor

Phone

(989) 773-9355

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1659599934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 E BROADWAY ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582933",
            "telephone_number": "989-773-9355",
            "fax_number": "989-773-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 E BROADWAY ST",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582933",
            "telephone_number": "989-773-9355",
            "fax_number": "989-773-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC WELLNESS CTR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "BLUNT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "989-773-9355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "004182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "950C710570",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.