Levi J Pulver, DC
Individual provider Active NPI Chiropractor · Spring Lake, MI
NPI 1902880073 · NPPES record last updated Nov 20, 2019
Key facts
- NPI
- 1902880073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301009059 (MI)
- Practice address
- 17208 Vanwagoner
Spring Lake, MI 49456-9702 - Phone
- (616) 834-3330
- Fax
- (616) 935-0748
- NPI assigned
- Dec 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
17204 Van Wagoner Rd
Spring Lake, MI 49456-9702
Phone (616) 604-0744
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060707000292 | MI | Practitioner - Chiropractic | 6406868686 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301009059 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Levi J Pulver DC PLLC | Chiropractor | Current | Accepting new patients |
| Cardinal Naturopathic and Functional Wellness LLC | Current |
Accepting new patients | |
| Coston Chiropractic Center PLLC | Chiropractor | Past |
Accepting new patients |
| Jon Woolston Chiropractic PC | Chiropractor | Past | Accepting new patients |
Locations
17204 Van Wagoner Rd
Spring Lake, MI 49456
Phone (616) 604-0744
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301009059 | MI | Yes |
Addresses
Primary practice location
17208 Vanwagoner
Spring Lake, MI 49456-9702
Mailing address
17204 Van Wagoner Rd
Spring Lake, MI 49456-9702
Phone (616) 604-0744
Other providers in Spring Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.