Cathleen M Padden, D.C.

Individual provider Active NPI Chiropractor · Lakeview, MI

NPI 1790731891 · NPPES record last updated Dec 19, 2013

Key facts

NPI
1790731891
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
CP005149 (MI)
Practice address
960 S Lincoln Ave
Lakeview, MI 48850-9178
Phone
(989) 352-8283
Fax
(989) 352-5723
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeview Family Chiropractors, Inc (4 clinicians)

Practice addresses (Care Compare)

960 S Lincoln Ave
Lakeview, MI 48850-9178
Phone (989) 352-8283

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20061218000463 MI Practitioner - Chiropractic 1951300078 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
CP005149MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Family Chiropractors Inc Chiropractor Current
since Jan 1, 2007
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CP005149 MI Yes

Addresses

Primary practice location

960 S Lincoln Ave
Lakeview, MI 48850-9178

Mailing address

PO Box 649
Lakeview, MI 48850-0649
Phone (989) 352-8283

Other identifiers

IdentifierTypeStateIssuer
145187252MedicaidMI
1922191048OtherMIGROUP TYPE 2 NPI
145187225OtherMIMCAID GROUP/PRACTICE NO

Other providers in Lakeview, MI

All providers in Lakeview, MI · Chiropractor in Michigan

Sources for this page

Verify at the official NPI Registry.