FAMILY WELLNESS CHIROPRACTIC, PLLC (NPI# 1750487948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750487948 |
| Entity Type | Organization |
| Organization Name | FAMILY WELLNESS CHIROPRACTIC, PLLC |
| Practice Address |
1465 W Washington St Marquette MI 49855-3115 |
| Practice Telephone | 9062269355 |
| Practice Fax Number | 9062269412 |
| Mailing Telephone | 9062269355 |
| Mailing Fax Number | 9062269412 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2016-05-23 |
| Authorized Official Name | MR. GUY JOSEPH LASICH JR. (OWNER) |
| Authorized Official Telephone | 9062269355 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301007766 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS OF MI | 950E210990 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821520297 | Family Wellness Chiropractic, Pllc | Chiropractor | 215 Nw 18th St, Ste 101, Ankeny, IA 50023-4281 | 2017-04-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | FAMILY WELLNESS CHIROPRACTIC, PLLC | 215 Nw 18th St, Ste 101, Ankeny, IA 50023 |
| Street Address |
1465 W WASHINGTON ST |
| City | MARQUETTE |
| State | MI |
| Zip Code | 49855-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881887198 | Gregory Alan Berglund | Chiropractor | 1465 W Washington St, Marquette, MI 49855-3115 | 2007-08-20 |
| 1376610014 | Guy Joseph Lasich Jr. | Chiropractor | 1465 W Washington St, Marquette, MI 49855-3115 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023665064 | Scott Allen Poirier | Physician Assistant | 850 West Baraga Avenue, Marquette, MI 49855 | 2019-08-23 |
| 1730734831 | Katelyn Tourville | Physician Assistant | 1401 Presque Isle Ave-health Center, Marquette, MI 49855 | 2019-08-06 |
| 1932681095 | Katelyn Longanbach | Physical Therapist | 841 W Washington St Ste 500, Marquette, MI 49855 | 2018-09-05 |
| 1366943979 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 3630 Us 41 W, Marquette, MI 49855 | 2018-02-28 |
| 1518466143 | Orthopaedic Surgery Associates of Marquette PC | Prosthetic/Orthotic Supplier | 841 West Washington Street, Suite 100, Marquette, MI 49855 | 2018-02-09 |
| 1376075598 | Pamela Baynton | Licensed Practical Nurse | 2292 U.S. 41 W, Marquette, MI 49855 | 2017-03-28 |
| 1548709454 | Allison Jean Czarny | Registered Nurse | 160 E Wright Pl, Marquette, MI 49855 | 2017-02-13 |
| 1629427299 | Larry Chappel | Social Worker | 210 Chippewa Square, Suite 208, Marquette, MI 49855 | 2016-06-06 |
| 1366898348 | Carla Pate | Student in an Organized Health Care Education/Training Program | 235 Hunt Hall, Marquette, MI 49855 | 2016-05-10 |
| 1922479732 | Nicholas Wujcik | Student in an Organized Health Care Education/Training Program | 504 S Fifth St, Marquette, MI 49855 | 2015-10-20 |
| Find all providers in zip 49855 | ||||
| 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 |
|---|---|---|---|---|
| 1699395855 | Geoffrey Holloway | Chiropractor | 417 Riverside Rd, Marquette, MI 49855-9558 | 2020-04-17 |
| 1578193793 | Kevin Noel | Chiropractor | 109 W Baraga Ave Ste D, Marquette, MI 49855-4728 | 2020-01-16 |
| 1487290011 | Ted Pietila | Chiropractor | 2572 Us Highway 41 W Ste A, Marquette, MI 49855-2221 | 2019-11-19 |
| 1740637172 | Daniel R. Dunbar P.C. | Chiropractor | 1440 W Ridge St Ste E, Marquette, MI 49855-3199 | 2016-05-16 |
| 1659657302 | Park Chiropractic, P.C. | Chiropractor | 717 W Washington St, Suite A, Marquette, MI 49855-4100 | 2011-10-26 |
| 1497035455 | Megan N Kussmaul | Chiropractor | 129 North St, Marquette, IA 52158-7706 | 2011-08-23 |
| 1124316708 | Gleeson Chiropractic, Pllc | Chiropractor | 2552 Us 41 W, Suite 300, Marquette, MI 49855-2292 | 2011-07-15 |
| 1326336173 | Nick Raboin Chiropractic | Chiropractor | 1440 W Ridge St, Suite E, Marquette, MI 49855-3199 | 2011-07-14 |
| 1184927220 | Active Chiropractic | Chiropractor | 1983 Norwood St, Marquette, MI 49855-1435 | 2010-12-13 |
| 1285892356 | Bill Houghton Chiropractic Pllc | Chiropractor | 1021 W. Baraga Ave, Suite B, Marquette, MI 49855 | 2008-05-27 |
| Find all providers in MARQUETTE | ||||
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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.