Organization Active NPI

Elizabeth, PLLC

  • Chiropractor
  • Saint Clair, MI
National Provider Identifier
1871822650
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
EB006923 Issued in MI
Legal business name
ELIZABETH, PLLC
Practice address
1820 Sinclair St
Suite a
Saint Clair, MI 48079-5905
Phone
(810) 329-9900
Fax
(810) 329-0900
NPI assigned
Dec 8, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Vivian Romzek
Title
Chiropractic Assistant
Phone
(810) 329-9900

Practitioners 2

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100311000183 MI Part B Supplier - Clinic/Group Practice 2567507825 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Clair, MI

National Provider Directory

National Provider Directory

Locations

1820 Sinclair St
Ste A
Saint Clair, MI 48079
Phone (810) 329-9000

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X EB006923 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

1820 Sinclair St
Suite a
Saint Clair, MI 48079-5905

Mailing address

1820 Sinclair St
Suite a
Saint Clair, MI 48079-5905
Phone (810) 329-9900

Other names 1

NPPES NPI Registry
  • Cornerstone Chiropractic & Wellness Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 14, 2010.

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1871822650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 SINCLAIR ST",
            "address_2": "SUITE A",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480795905",
            "telephone_number": "810-329-9900",
            "fax_number": "810-329-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SINCLAIR ST",
            "address_2": "SUITE A",
            "city": "SAINT CLAIR",
            "state": "MI",
            "postal_code": "480795905",
            "telephone_number": "810-329-9900",
            "fax_number": "810-329-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "ROMZEK",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "CHIROPRACTIC ASSISTANT",
        "authorized_official_telephone_number": "810-329-9900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "EB006923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Chiropractic & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Clair, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.