BRADLEY JAMES BOULTON (NPI# 1003905241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003905241 |
| Entity Type | Individual |
| Full Name | BRADLEY JAMES BOULTON |
| Credential | DC |
| Practice Address |
190 S Second St Harrison MI 48625 |
| Mailing Address |
Po Box 308 Harrison MI 48625-0308 |
| Practice Telephone | 9895395201 |
| Mailing Telephone | 9895395201 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301005243 | MI | Chiropractic Providers |
| Street Address |
190 S SECOND ST |
| City | HARRISON |
| State | MI |
| Zip Code | 48625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730679424 | Bobbiejo M Briggs | Licensed Practical Nurse | 6197 Maple Trail, Harrison, MI 48625 | 2018-05-17 |
| 1235653635 | Ashley Eileen Angerer-blunt | Social Worker | 789 North Clare Avenue, Po Box 817, Harrision, MI 48625 | 2017-07-28 |
| 1033651088 | Northern Star Transportation Inc. | Non-emergency Medical Transport (VAN) | 4036 Oak Flats Rd, Harrison, MI 48625 | 2016-11-08 |
| 1174748651 | Joni Marie Haley Ashcroft | Chiropractor | 190 S.second St., Harrison, MI 48625 | 2007-04-17 |
| 1376643320 | Mitchell L. Mcmillan | Physical Therapist | 158 N 1st St, Suite D, Harrison, MI 48625 | 2006-09-22 |
| 1932208071 | Brooke W. Loucks | Physical Therapist | 158 North 1st Street, Suite D, Harrison, MI 48625 | 2006-09-22 |
| 1962515809 | Evergreen Physical Therapy Limited Partnership | Clinic/Center | 158 North First Street, Suite D, Harrison, MI 48625 | 2006-08-16 |
| 1316982465 | United Rescue Service | Ambulance | 229 W Beech St, Harrison, MI 48625 | 2006-06-20 |
| 1699763979 | Stephen C Mcclintic | Optometrist | 444 South First St, Harrison, MI 48625 | 2005-10-11 |
| 1144694241 | Harrison Eye Care Plc | Clinic/Center | 444 S 1st St, Harrison, MI 48625-2500 | 2015-11-30 |
| Find all providers in zip 48625 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114450350 | Christopher Straface Dc Pllc | Chiropractor | 550 Mamaroneck Ave Ste 103, Harrison, NY 10528-1612 | 2017-04-05 |
| 1154661197 | David Michael Minozzi | Chiropractor | 157 Halstead Ave, Harrison, NY 10528-3618 | 2013-02-28 |
| 1144574336 | Haveron Total Health, Pa | Chiropractor | 333-335 Harrison Ave, Harrison, NJ 07029 | 2012-11-09 |
| 1043478076 | Chiropractic Associate P.C. | Chiropractor | 550 Mamaroneck Avenue, Harrison, NY 10528-2113 | 2008-05-27 |
| 1043401797 | Seth Pearl, Chiropractor, PC | Chiropractor | 450 Mamaroneck Ave Ste 413, Harrison, NY 10528 | 2007-08-07 |
| 1467678458 | Arlis Finis Conner | Chiropractor | 501 N Willow St, Harrison, AR 72601 | 2007-04-18 |
| 1174748651 | Joni Marie Haley Ashcroft | Chiropractor | 190 S.second St., Harrison, MI 48625 | 2007-04-17 |
| 1750505392 | Nathan Dale Mulanax | Chiropractor | 105 E Crandall Ave, Harrison, AR 72601-3629 | 2007-04-13 |
| 1578692760 | David Matthew Sullivan | Chiropractor | 104 Biddle Ave, Suite G, Harrison, OH 45030-2528 | 2007-03-05 |
| 1316000334 | Ruben Rivero | Chiropractor | 211 Frank Rodgers Blvd North, Harrison, NJ 07029 | 2006-12-19 |
| Find all providers in HARRISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.