Derek Lowell Kolbus, D.C.
Individual provider Active NPI Chiropractor · Munising, MI
NPI 1992996797 · NPPES record last updated Aug 6, 2007
Key facts
- NPI
- 1992996797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301009359 (MI)
- Practice address
- 126 E Superior St
Munising, MI 49862-1122 - Phone
- (906) 202-2793
- NPI assigned
- Aug 6, 2007
- 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 |
|---|---|---|---|
| 1694 | LA | MD | Oral and Maxillofacial Pathology Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All American Nola, LLC | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301009359 | MI | Yes |
Addresses
Primary practice location
126 E Superior St
Munising, MI 49862-1122
Mailing address
126 E Superior St
Munising, MI 49862-1122
Phone (906) 202-2793
Other providers in Munising, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 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.