Northland Healthcare Services PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

004989 Issued in MI

Legal business name

NORTHLAND HEALTHCARE SERVICES PLLC

Practice address

23300 Greenfield Rd
Suite 205
Oak Park, MI 48237-5237

Phone

(248) 850-7660

Fax

(248) 850-7740

NPI assigned

Sep 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Geoffrey Kemoli Sagala, CHIROPRACTOR

Title

Doctor

Phone

(248) 850-7660

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1962719203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23300 GREENFIELD RD",
            "address_2": "SUITE 205",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482375237",
            "telephone_number": "248-850-7660",
            "fax_number": "248-850-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23300 GREENFIELD RD",
            "address_2": "SUITE 205",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482375237",
            "telephone_number": "248-850-7660",
            "fax_number": "248-850-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND HEALTHCARE SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "SAGALA",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "KEMOLI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "248-850-7660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CHIROPRACTOR"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "004989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oak Park Dental Ctr
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• Chiropractor in Oak Park, MI
• Providers in Oak Park, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.