Organization Active NPI

Wellness 4 Life Chiropractic PLLC

  • Chiropractor
  • Hartland, MI
National Provider Identifier
1811226814
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WELLNESS 4 LIFE CHIROPRACTIC PLLC
Practice address
11202 Highland Rd
Hartland, MI 48353-2704
Phone
(810) 632-5252
Fax
(810) 632-7575
NPI assigned
Dec 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Authorized official

Name
Dr. Jeremy J Rosner, D.C.NPI 1114195393
Title
Operating Member
Phone
(810) 632-5252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

11202 Highland Rd
Hartland, MI 48353-2704

Mailing address

11202 Highland Rd
Hartland, MI 48353-2704
Phone (810) 632-5252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100504000521 MI Part B Supplier - Clinic/Group Practice 5092843516 Receives reassigned benefits from 1 practitioner
Practice locations: Hartland, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1811226814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11202 HIGHLAND RD",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532704",
            "telephone_number": "810-632-5252",
            "fax_number": "810-632-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11202 HIGHLAND RD",
            "city": "HARTLAND",
            "state": "MI",
            "postal_code": "483532704",
            "telephone_number": "810-632-5252",
            "fax_number": "810-632-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS 4 LIFE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "ROSNER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPERATING MEMBER",
        "authorized_official_telephone_number": "810-632-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.