Downtown Dewitt Chiropractic, P.C.
Organization Active NPI Chiropractor · Dewitt, MI
NPI 1710152012 · NPPES record last updated Oct 25, 2010
Key facts
- NPI
- 1710152012
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301007912 (MI)
- Legal business name
- DOWNTOWN DEWITT CHIROPRACTIC, P.C.
- Practice address
- 109 W Main St
Dewitt, MI 48820-8946 - Phone
- (517) 668-0411
- Fax
- (517) 669-5121
- NPI assigned
- Apr 28, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Jennifer Lynn Whitman, D.C.
- Title
- President
- Phone
- (517) 668-0411
Practitioners 2
-
Terresa Plowman, D.C
-
Jennifer L Whitman, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101103001400 | MI | Part B Supplier - Clinic/Group Practice | 8820282833 |
Receives reassigned benefits from 2 practitioners Practice locations: Dewitt, MI |
National Provider Directory
Locations
109 W Main St
Dewitt, MI 48820
Phone (517) 668-0411
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2301007912 | MI | Yes |
Addresses
Primary practice location
109 W Main St
Dewitt, MI 48820-8946
Mailing address
109 W Main St
Dewitt, MI 48820-8946
Phone (517) 668-0411
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010973 | Medicaid | MI |
Other providers in Dewitt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2010. 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.