James Michael Callard, D.C.

Individual provider Active NPI Chiropractor · Fenton, MI

NPI 1992819692 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1992819692
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
2301007068 (MI)
Practice address
873 W Silver Lake Rd
Fenton, MI 48430-2624
Phone
(810) 629-5566
Fax
(810) 629-5512
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Life Chiropractic College, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

873 W Silver Lake Rd
The Callard Clinic
Fenton, MI 48430-2624
Phone (810) 629-5566

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040807000055 MI Practitioner - Chiropractic 5496727869 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Callard Chiropractic, P.C. Chiropractor Current
since Nov 1, 2000
Accepting new patients

Locations

873 W Silver Lake Rd
Fenton, MI 48430
Phone (810) 629-5230

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007068 MI Yes

Addresses

Primary practice location

873 W Silver Lake Rd
Fenton, MI 48430-2624

Mailing address

873 W Silver Lake Rd
Fenton, MI 48430-2624
Phone (810) 629-5566

Other providers in Fenton, MI

All providers in Fenton, MI · Chiropractor in Michigan

Sources for this page

Verify at the official NPI Registry.