Pine River Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007419 Issued in MI

Legal business name

PINE RIVER CHIROPRACTIC LLC

Practice address

955 E Breasbois CT
Midland, MI 48640-9500

Phone

(989) 832-9200

NPI assigned

Apr 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ira Isaacoff, D.C.

Title

Owner

Phone

(989) 832-9200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1811160211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 E BREASBOIS CT",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486409500",
            "telephone_number": "989-832-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 E BREASBOIS CT",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486409500",
            "telephone_number": "989-832-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE RIVER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "ISAACOFF",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-832-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physician Management Services of Michigan, LLC
• Serena Piasini
• Jolene Pickelman, M.A., LPC
• Kathryn Pickens
• Kerry Pierce, MD
• Pinecrest Farms
• Joann Margaret Pinet
• Adam Pinney
• Jack Pinney, MD
• Renee Place, LMSW

• Chiropractor in Midland, MI
• Providers in Midland, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.