Stephan Skalnican, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009903 Issued in MI

Practice address

455 E Grand River Ave # 204
Brighton, MI 48116-1551

Phone

(810) 360-0338

Fax

(810) 355-2600

NPI assigned

May 2, 2012

Last updated

May 2, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Kor Chiro Studio PLLC

  dba Kor Chiro Studio

  • Chiropractor
  • Brighton, MI
  • NPI 1851659320
  Authorized official Same address or phone

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1821356387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E GRAND RIVER AVE # 204",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161551",
            "telephone_number": "810-360-0338",
            "fax_number": "810-355-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E GRAND RIVER AVE # 204",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161551",
            "telephone_number": "810-360-0338",
            "fax_number": "810-355-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKALNICAN",
        "first_name": "STEPHAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.