Organization Active NPI

Elizabeth Baise-Bergeron, D.C., P.C.

  • Chiropractor
  • Howell, MI
National Provider Identifier
1982853495
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008419 Issued in MI
Legal business name
ELIZABETH BAISE-BERGERON, D.C., P.C.
Practice address
4214 E Grand River Ave
Howell, MI 48843-6630
Phone
(517) 552-9336
Fax
(517) 552-9360
NPI assigned
Sep 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Dr. Elizabeth Sophia Baise-Bergeron, D.C.
Title
Doctor of Chiropractic
Phone
(248) 943-8290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301008419 MI Primary

Addresses

Primary practice location

4214 E Grand River Ave
Howell, MI 48843-6630

Mailing address

4214 E Grand River Ave
Howell, MI 48843-6630
Phone (517) 552-9336

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1982853495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 E GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488436630",
            "telephone_number": "517-552-9336",
            "fax_number": "517-552-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 E GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488436630",
            "telephone_number": "517-552-9336",
            "fax_number": "517-552-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH BAISE-BERGERON, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "BAISE-BERGERON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "SOPHIA",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "248-943-8290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.