DR. CHARLES J LYONS (NPI# 1114941119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114941119 |
| Entity Type | Individual |
| Full Name | DR. CHARLES J LYONS |
| Credential | DC |
| Practice Address |
36150 Dequindre Rd Suite 730 Sterling Heights MI 48310-7149 |
| Mailing Address |
505 River Ridge Dr Waterford MI 48327-2887 |
| Practice Telephone | 5869794950 |
| Practice Fax Number | 5869795096 |
| Mailing Telephone | 2489415330 |
| Mailing Fax Number | 5869795096 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CL007629 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3384548 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649378977 | Charles B Lyons | Family Medicine | 1705-a Mount Vernon Rd, Atlanta, GA 30338 | 2006-09-20 |
| 1629287016 | Charles Thomas Lyons | Dentist | 201 Rock Rd, Suite 202, Glen Rock, NJ 07452-1746 | 2007-05-22 |
| 1235139460 | Charles Roger Lyons Jr. | Family Medicine | 1025 Manchester Ave, Wabash, IN 46992-1425 | 2005-07-29 |
| Street Address |
36150 DEQUINDRE RD SUITE 730 |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48310-7149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316902646 | Frank N Rosner | Dentist | 36150 Dequindre Rd, Suite 800, Sterling Heights, MI 48310-7149 | 2006-04-19 |
| 1679753941 | Michael J Brown,d.c.,p.c. | Chiropractor | 36150 Dequindre Rd, Suite 730, Sterling Heights, MI 48310-7149 | 2007-11-05 |
| 1306989173 | David M. Hamel | Marriage & Family Therapist | 36150 Dequindre Rd, Suite 530, Sterling Heights, MI 48310-7149 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476961 | Briana Smiley | Behavior Technician | 34475 Mound Road, Sterling Heights, MI 48310 | 2020-07-31 |
| 1902442262 | Evolve Physical Therapy LLC | Physical Therapist | 35654 Dequindre Rd, Sterling Heights, MI 48310 | 2019-11-21 |
| 1245715291 | Brooksprings Dialysis, LLC | Clinic/Center | 2391 Fifteen Mile Rd, Sterling Heights, MI 48310 | 2018-09-26 |
| 1942784368 | Brittany Lee Anderson | Chiropractor | 34770 Dequindre Rd., Sterling Heights, MI 48310 | 2018-09-21 |
| 1386140572 | Arpan Patel | Nurse Practitioner | 37303 Tericrest Dr, Sterling Heights, MI 48310 | 2018-04-05 |
| 1306340955 | Prestige Specialty Pharmacy LLC | Pharmacy | 3739 15 Mile Rd, Sterling Heights, MI 48310 | 2018-03-20 |
| 1942704663 | Tazul Choudhury | Occupational Therapist | 34643 Ketsin Dr., Therapy Dept., Sterling Heights, MI 48310 | 2018-03-19 |
| 1013410950 | Robert Parent | Physical Therapist | 34643 Ketsin Drive, Sterling Heighs, MI 48310 | 2018-03-16 |
| 1194231563 | Total Orthopedic Performance Physical Therapy, LLC | Physical Therapist | 3522 15 Mile Road, Sterling Heights, MI 48310 | 2017-12-21 |
| 1851807309 | Happy Life 2 Inc | Clinic/Center | 3727 15 Mile Rd, Sterling Heights, MI 48310 | 2017-12-20 |
| Find all providers in zip 48310 | ||||
| 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 |
|---|---|---|---|---|
| 1710445382 | Austin David Hibner | Chiropractor | 39705 Moriah Dr, Sterling Heights, MI 48313-5751 | 2019-03-03 |
| 1942784368 | Brittany Lee Anderson | Chiropractor | 34770 Dequindre Rd., Sterling Heights, MI 48310 | 2018-09-21 |
| 1376055970 | Bradley Burgess | Chiropractor | 39880 Van Dyke Ave Ste 201, Sterling Heights, MI 48313-4670 | 2017-11-04 |
| 1326462870 | Lauren Rae Gomes | Chiropractor | 13919 19 Mile Rd, Sterling Heights, MI 48313 | 2014-02-04 |
| 1881949675 | One Source Health & Spine Inc | Chiropractor | 2609 Metropolitan Pkwy, Suite 300, Sterling Heights, MI 48310-4216 | 2012-07-17 |
| 1760774830 | Sterling Heights Chiropractic Clinic P C | Chiropractor | 42700 Van Dyke Ave, Sterling Heights, MI 48314-3330 | 2011-05-09 |
| 1871730234 | Aaron Ross Rice | Chiropractor | 34770 Dequindre Rd, Sterling Heights, MI 48310-5279 | 2009-01-07 |
| 1861668352 | Morici Chiropractic P C | Chiropractor | 43200 Dequindre Rd Ste 109, Sterling Heights, MI 48314-1707 | 2008-05-05 |
| 1235340902 | Vital Chiropractic Center, P.C. | Chiropractor | 36830 Ryan Rd, Sterling Heights, MI 48310-4455 | 2007-05-24 |
| 1730391673 | Janet Marie Bednarz | Chiropractor | 2050 Chesley Dr., Suite 2, Sterling Heights, MI 48310 | 2007-05-04 |
| Find all providers in STERLING HEIGHTS | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48310 |
Please comment or provide details below to improve the information on DR. CHARLES J LYONS.
| 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.