Michael T Detweiler, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.007176 Issued in IL

Practice address

1940 S Main St
Eureka, IL 61530-1666

Phone

(309) 467-2210

NPI assigned

Apr 24, 2009

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 24, 2009.

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240531200000",
    "number": "1669616355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 S MAIN ST",
            "city": "EUREKA",
            "state": "IL",
            "postal_code": "615301666",
            "telephone_number": "309-467-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 S MAIN ST",
            "city": "EUREKA",
            "state": "IL",
            "postal_code": "615301666",
            "telephone_number": "309-467-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETWEILER",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.007176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carle Eureka Hospital
• Carle Eureka Hospital
• Jason Collins, SSP
• County of Woodford Eureka Congerville Goodfld Dist 140
• David Howard Crenshaw, L.P.T.
• Victoria L Diekhoff, LMT
• Elite Chiropractic Services, LLC
• Eureka Community Hospital
• Eureka Community Hospital
• Eureka Family Dental P.C.

• All providers in Eureka, IL
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.