Lighthouse Chiropractic & Wellness Center, PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007202 Issued in MI

Legal business name

LIGHTHOUSE CHIROPRACTIC & WELLNESS CENTER, PLC

Practice address

1203 E 8TH St
Traverse City, MI 49686-2938

Phone

(231) 933-1117

NPI assigned

Jun 19, 2007

Last updated

Apr 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kurt D. Froese, CHIROPRACTICNPI 1609070309

Title

Chiropractor

Phone

(231) 933-1117

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kurt Douglas Froese, CHIROPRACTIC

  • Chiropractor
  • Traverse City, MI
  • NPI 1609070309
  Medicare reassignment Care Compare group NPD Authorized official
• Laura Ann Froese, CHIROPRACTOR

  • Chiropractor
  • Traverse City, MI
  • NPI 1588868285
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1962607002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 E 8TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862938",
            "telephone_number": "231-933-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 E 8TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862938",
            "telephone_number": "231-933-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE CHIROPRACTIC & WELLNESS CENTER, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "FROESE",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "231-933-1117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CHIROPRACTIC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayleigh Lewthwaite
• Alyssa Ann Lichon
• Norman J Licht, M.D.
• Maddison Jane Liggett, PA
• Rachel Light
• Cyrilla Dawn Lillie, PHARMACY TECHNICIAN
• Lincare Inc.
• Christina Lindall
• Kylie Lindgren, MS, RD
• Erik David Lindstrom, M.D.

• Chiropractor in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.