DR. KATHLYNN JON STULL (NPI# 1184824476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184824476 |
Entity Type | Individual |
Full Name | DR. KATHLYNN JON STULL |
Credential | D.C. |
Practice Address |
2820 Niles Rd Saint Joseph MI 49085-3355 |
Practice Telephone | 2694291982 |
Practice Fax Number | 2695569615 |
Mailing Telephone | 2694291982 |
Mailing Fax Number | 2695569615 |
Enumeration Date | 2007-07-24 |
Last Update Date | 2009-03-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2301008480 | MI | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BLUE CROSS BLUE SHIELD OF | 950A111370 | 01 | |
MI | BCBSMI | 950A111580 | 01 |
Street Address |
2820 NILES RD |
City | SAINT JOSEPH |
State | MI |
Zip Code | 49085-3355 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558386508 | Peter J Gelesko | Chiropractor | 2820 Niles Rd, Saint Joseph, MI 49085-3355 | 2006-07-12 |
1841684115 | Casey Rice | Nutritionist | 2820 Niles Rd, Saint Joseph, MI 49085-3338 | 2015-03-25 |
1659769321 | Robin Shuler | Registered Nurse | 2820 Niles Rd, Saint Joseph, MI 49085-3338 | 2015-01-05 |
1942609334 | Kim Ferguson | Doula | 2820 Niles Rd, Saint Joseph, MI 49085-3338 | 2014-08-21 |
1336425008 | Jane Oelke | Naturopath | 2820 Niles Rd, Saint Joseph, MI 49085-3338 | 2011-10-26 |
1861784902 | Megan Hackett | Chiropractor | 2820 Niles Rd, Saint Joseph, MI 49085-3338 | 2011-05-09 |
1629376066 | Hackett Chiropractic, LLC | Chiropractor | 2820 Niles Rd, Saint Joseph, MI 49085-3338 | 2011-03-09 |
1437464229 | Horse Play, LLC | Social Worker | 2820 Niles Rd, Saint Joseph, MI 49085-3338 | 2010-08-17 |
1023296654 | Stull Chiropractic Plc | Chiropractor | 2820 Niles Rd, Saint Joseph, MI 49085-3355 | 2008-02-06 |
1639272990 | Gelesko Chiropractic Pllc | Chiropractor | 2820 Niles Rd, Saint Joseph, MI 49085-3355 | 2006-09-05 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134758949 | Ahmed Elshareif | Student in an Organized Health Care Education/Training Program | Lakeland Health, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2020-04-03 |
1033747225 | Ezra Fox | Student in an Organized Health Care Education/Training Program | Lakeland Health- Gme, 1234 Napier Avenue, St. Joseph, MI 49085 | 2020-04-01 |
1679033930 | Asad Butt | Student in an Organized Health Care Education/Training Program | Lakeland Health-gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2019-03-22 |
1184194714 | Benjamin Phillip Knuth | Physical Therapist | 3950 Hollywood Road, Suite 140, Saint Joseph, MI 49085 | 2018-11-27 |
1336624279 | Brandi Chatot | Counselor | 1101 Broad Street #8, Saint Joseph, MI 49085 | 2018-09-26 |
1396239562 | Lakeland Medical Practices | Family Medicine | 2500 Niles Ave., Suite 1, St. Joseph, MI 49085 | 2018-06-20 |
1760976518 | Premier Health Associates, Inc. | Home Health | 1111 Main Sr, St Joseph, MI 49085 | 2018-06-15 |
1053817783 | Chantell Strong | Student in an Organized Health Care Education/Training Program | Lakeland Health - Gme, 1234 Napier Avenue, Saint Joseph, MI 49085 | 2018-04-02 |
1386144053 | Anjana Gupta, Dds, Pllc | Dentist | 2800 Niles Road, Saint Joseph, MI 49085 | 2018-02-19 |
1356858997 | Hope Reborn Counseling, Pllc | Counselor | 2816 Willa Dr, Saint Joseph, MI 49085 | 2018-01-04 |
Find all providers in zip 49085 |
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 |
---|---|---|---|---|
1164928073 | Andrew Haeker | Chiropractor | 3120 Karnes Rd Ste B, Saint Joseph, MO 64506-4324 | 2018-04-01 |
1063949998 | Brian S Koltes | Chiropractor | 103 College Ave N, Saint Joseph, MN 56374 | 2017-05-23 |
1366873358 | Ashley Grace Mears | Chiropractor | 3007 N Belt Hwy, Saint Joseph, MO 64506-2064 | 2013-12-02 |
1598103400 | All Star Pediatric & Family Chiropractic Plc | Chiropractor | 2640 S Cleveland Ave, Saint Joseph, MI 49085-3002 | 2013-06-13 |
1144504010 | Lake Michigan Chiropractic, Pllc | Chiropractor | 4082 Red Arrow Hwy., Saint Joseph, MI 49085-9431 | 2011-10-10 |
1174811541 | Giles Chiropractic P.C. | Chiropractor | 3921 Oakland Ave, Saint Joseph, MO 64506-4920 | 2011-07-19 |
1861790545 | Michael Justin Rowe | Chiropractor | 3134 Niles Rd, Unit B, Saint Joseph, MI 49085-8652 | 2011-03-04 |
1376849398 | Chiropractic Healing & Restoration LLC | Chiropractor | 1512 S 17th St, Saint Joseph, MO 64503-2668 | 2011-02-09 |
1700186277 | Russell Eric Mead | Chiropractor | 4100 M 139, Suite 112, Saint Joseph, MI 49085-8672 | 2010-10-29 |
1275855660 | Dr Gerald Yurth Chiropractor LLC | Chiropractor | 1512 S 27th St, Saint Joseph, MO 64507-1847 | 2010-02-25 |
Find all providers in SAINT JOSEPH |
City | SAINT JOSEPH |
Zip Code | 49085 |
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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.