Jared L Halsey, D.C.
Individual provider Active NPI Chiropractor · Edmore, MI
NPI 1962446526 · NPPES record last updated Nov 27, 2007
Key facts
- NPI
- 1962446526
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- L766519 (MI)
- Practice address
- 503 E. Main St.
Edmore, MI 48829 - Phone
- (989) 427-3457
- Fax
- (989) 427-3487
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L766519 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halsey Family Chiropractic, PLLC | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | L766519 | MI | Yes |
Addresses
Primary practice location
503 E. Main St.
Edmore, MI 48829
Mailing address
503 E. Main St.
P.O. Box 77
Edmore, MI 48829
Phone (989) 427-3457
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L766519 | Other | MI | CHIROPRACTOR LICENSE |
Other names
- Dr. Jared L Halsey
Other providers in Edmore, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.