Family Wellness Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007766 Issued in MI

Legal business name

FAMILY WELLNESS CHIROPRACTIC, PLLC

Practice address

1465 W Washington St
Marquette, MI 49855-3115

Phone

(906) 226-9355

Fax

(906) 226-9412

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Guy Joseph Lasich Jr., DC

Title

Owner

Phone

(906) 226-9355

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Alan Berglund, D.C.

  • Chiropractor
  • Marquette, MI
  • NPI 1881887198
  Medicare reassignment NPD

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1750487948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 W WASHINGTON ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553115",
            "telephone_number": "906-226-9355",
            "fax_number": "906-226-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 W WASHINGTON ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553115",
            "telephone_number": "906-226-9355",
            "fax_number": "906-226-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY WELLNESS CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "LASICH",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-226-9355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "950E210990",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill A Esterly-Jayne, LMSW
• Excalibur Medical Imaging, LLC
• Eye Associates of Marquette Inc
• Christopher Robert Faber, MD
• Facial Surgery Institute, PLC
• Frank Farbod, M.D., D.M.D, MD,DMD, FACS, FRCS
• Jennnifer Beth Farnsworth, MSN, RNC-NIC, NNP-BC
• Virginia Burkey Feleppa, MD
• Peter Felsman, PHD, LMSW
• Julie Feltner, LMSW

• All providers in Marquette, MI
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.