DR. JEROME J KORONIOTIS (NPI# 1619907391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619907391 |
| Entity Type | Individual |
| Full Name | DR. JEROME J KORONIOTIS |
| Credential | D.C. |
| Practice Address |
104 W Scott St Grand Ledge MI 48837-1563 |
| Practice Telephone | 5176273525 |
| Practice Fax Number | 5176270495 |
| Mailing Telephone | 5176273525 |
| Mailing Fax Number | 5176270495 |
| Enumeration Date | 2006-07-05 |
| 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 | 2301002894 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PHP | 44-00217 | 01 |
| MI | BCBS OF MI | 0B31047 | 01 |
| Street Address |
104 W SCOTT ST |
| City | GRAND LEDGE |
| State | MI |
| Zip Code | 48837-1563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770061715 | Taylor Rene Van Horn | Chiropractor | 229 N. Bridge St., Grand Ledge, MI 48837 | 2018-08-01 |
| 1417334947 | Julie Ann Haan | Occupational Therapist | 6672 Ambassador Ave #111, Grand Ledge, MI 48837 | 2015-05-05 |
| 1386063022 | Rochelle Ashley Hughes | Obstetrics & Gynecology | 1035 Charlevoix Dr Ste 200, Grand Ledge, MI 48837 | 2014-04-09 |
| 1912255613 | Gordon William Jacobs | Home Health Aide | 202 1/2 Bridge St, Apt 6, Grand Ledge, MI 48837 | 2012-08-28 |
| 1497901524 | Edward D. Ball D.o., P.C. | Family Medicine | 313 S. Clinton, Grand Ledge, MI 48837 | 2008-08-08 |
| 1467667790 | Orthodontic Specialists of Mid-michigan, PC | Dentist | 1040 Charlevoix Drive, Ste, C, Grand Ledge, MI 48837 | 2007-05-11 |
| 1285773226 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 730 E. Saginaw Hwy, Grand Ledge, MI 48837 | 2007-02-06 |
| 1295893733 | James Anthony Voltattorni | Dentist | 312 Taylor, Grand Ledge, MI 48837 | 2006-12-05 |
| 1336224880 | Kaci Oda Chamberlin | Pharmacist | 508 S Clinton St, Grand Ledge, MI 48837 | 2006-10-25 |
| 1164525747 | Ethan H Childs | Chiropractor | 229 N Bridge St, Grand Ledge, MI 48837 | 2006-09-07 |
| Find all providers in zip 48837 | ||||
| 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 |
|---|---|---|---|---|
| 1770061715 | Taylor Rene Van Horn | Chiropractor | 229 N. Bridge St., Grand Ledge, MI 48837 | 2018-08-01 |
| 1871973461 | Timothy Edward Tarry | Chiropractor | 12671 Dundee Dr, Grand Ledge, MI 48837-8957 | 2015-06-09 |
| 1205100435 | Amber Nichole Iszler | Chiropractor | 10160 W Grand River Hwy, Grand Ledge, MI 48837-8245 | 2012-03-06 |
| 1205005865 | Andrea Lynn Herrst | Chiropractor | 221 S Bridge St Rm 3, Grand Ledge, MI 48837-1526 | 2008-02-27 |
| 1164525747 | Ethan H Childs | Chiropractor | 229 N Bridge St, Grand Ledge, MI 48837 | 2006-09-07 |
| 1922063809 | Robert John Leindecker | Chiropractor | 11653 Hartel Rd, Suite 3750, Grand Ledge, MI 48837-9190 | 2006-04-20 |
| 1265411698 | Raymond Leonard Lanjopoulos | Chiropractor | 309 E Saginaw Hwy, Grand Ledge, MI 48837-2191 | 2006-01-13 |
| 1679563928 | Jeffrey David Wallace | Chiropractor | 820 Charlevoix Dr, Suite 210, Grand Ledge, MI 48837-8188 | 2005-10-27 |
| 1508859877 | Chad Lake | Chiropractor | 5680 E Saginaw Hwy, Suite C, Grand Ledge, MI 48837-8102 | 2005-08-23 |
| 1144500406 | Advanced Health | Chiropractor | 12947 Townsend Dr, #412, Grand Ledge, MI 48837-8727 | 2011-08-18 |
| Find all providers in GRAND LEDGE | ||||
| City | GRAND LEDGE |
| Zip Code | 48837 |
Please comment or provide details below to improve the information on DR. JEROME J KORONIOTIS.
| 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.