DR. STEPHANIE MARIE SERENKO (NPI# 1689814931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689814931 |
Entity Type | Individual |
Full Name | DR. STEPHANIE MARIE SERENKO |
Credential | D.C. |
Practice Address |
8152 25 Mile Rd Ste E Shelby Township MI 48316 |
Mailing Address |
830 W Dryden Rd Metamora MI 48455-8901 |
Practice Telephone | 5869926960 |
Practice Fax Number | 5869926962 |
Mailing Telephone | 8106783730 |
Mailing Fax Number | 8106783741 |
Enumeration Date | 2009-02-26 |
Last Update Date | 2018-08-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 2301009477 | MI | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 20120713513870 | 05 |
Street Address |
8152 25 MILE RD STE E |
City | SHELBY TOWNSHIP |
State | MI |
Zip Code | 48316 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679183552 | Jeffrey T Baker Dds PC | Dentist | 8152 25 Mile Rd Ste C, Shelby Twp, MI 48316 | 2020-08-05 |
1811459993 | Aspire Psychological Associates LLC | Psychologist | 53200 Van Dyke Ave, Suite 100, Shelby Twp, MI 48316 | 2019-04-05 |
1619445798 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 7542 26 Mile Road, Shelby, MI 48316 | 2018-11-07 |
1962929117 | Rosni Nair | Nurse Practitioner | 51562 Merry Lane, Shelby Twp, MI 48316 | 2017-08-28 |
1548797251 | Susan Dipple | Occupational Therapist | 2041 Crystal Lake Ct S Apt T-376, Shelby Township, MI 48316 | 2017-05-12 |
1396295101 | Nikkolas Lawrence Chronis | Pharmacist | 7609 Hartwick, Shelby Twp, MI 48316 | 2016-10-05 |
1871976373 | Michelle Lynn Maltese | Dentist | 4147 24 Mile Rd, Shelby Twp, MI 48316 | 2015-07-01 |
1750768222 | Michael Justin Ramar | Chiropractor | 2061 25 Mile Rd, Shelby Township, MI 48316 | 2015-05-04 |
1215362454 | Aa Transportation Group, LLC | Non-emergency Medical Transport (VAN) | 56516 Ashbrooke Dr W, Shelby Twp, MI 48316 | 2013-09-06 |
1932400348 | Rea Counseling Services, PC | Community/Behavioral Health | 51539 Van Dyke Ave, Shelby Twp, MI 48316 | 2010-11-16 |
Find all providers in zip 48316 |
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 |
---|---|---|---|---|
1023594223 | Apex Chiropractic, P.C. | Chiropractor | 51543 Schoenherr Road, Shelby Township, MI 48315 | 2018-07-11 |
1376892323 | Wellspine PC | Chiropractor | 8187 Rhode Dr Ste A, Shelby Township, MI 48317-3279 | 2012-09-06 |
1609162221 | Back and Body Chiropractic Center | Chiropractor | 55130 Van Dyke Ave, Shelby Township, MI 48316-5302 | 2011-06-22 |
1508191305 | Mcleod Shelby Chiropractic PC | Chiropractor | 53505 Van Dyke Ave, Shelby Township, MI 48316-1861 | 2009-10-12 |
1780821496 | Peter Clayton Rom | Chiropractor | 50955 Hayes Rd, Shelby Township, MI 48315-3237 | 2009-01-16 |
1427230390 | Lifeline Chiropractic P C | Chiropractor | 47950 Van Dyke, Ste A, Shelby Township, MI 48317 | 2007-12-03 |
1215056965 | Gary Patrick Johnson | Chiropractor | 47197 Van Dyke Ave, Shelby Township, MI 48317-3359 | 2007-03-27 |
1871633651 | Michael Timothy Hanselman | Chiropractor | 52930 Mound Rd, Shelby Township, MI 48316-3265 | 2007-02-08 |
1760529606 | Christine Kaczmar | Chiropractor | 47950 Van Dyke Ave, Suite A, Shelby Township, MI 48317-3255 | 2007-01-31 |
1134275183 | Fiori P.C. Bassett Family Chiropractic P.C. | Chiropractor | 51309 Mound Rd, Shelby Township, MI 48316-4344 | 2007-01-25 |
Find all providers in SHELBY TOWNSHIP |
City | SHELBY TOWNSHIP |
Zip Code | 48316 |
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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.