MIDLAND CHIROPRACTIC (NPI# 1831534403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831534403 |
| Entity Type | Organization |
| Organization Name | MIDLAND CHIROPRACTIC |
| Other Organization Name | MIDLAND CHIROPRACTIC AND SPORTS REHAB |
| Practice Address |
4710 Eastman Ave Midland MI 48640 |
| Mailing Address |
Po Box 1824 Midland MI 48640 |
| Practice Telephone | 8554722279 |
| Mailing Telephone | 8554722279 |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |
| Authorized Official Name | DR. JEFFREY TUCKER BERARD (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7723598108 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301010088 | MI | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| MIDLAND CHIROPRACTIC AND SPORTS REHAB | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417381070 | Midland Chiropractic | Chiropractor | 4710 Eastman Ave, Midland, MI 48641 | 2013-08-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MIDLAND CHIROPRACTIC, PLLC | 10422 Portland Ave E, Tacoma, WA 98445 |
| Street Address |
4710 EASTMAN AVE |
| City | MIDLAND |
| State | MI |
| Zip Code | 48640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619503885 | Shane Meyers | Chiropractor | 4710 Eastman Ave, Midland, MI 48640-2606 | 2020-03-19 |
| 1881107522 | Eric Paul Fridline | Physical Therapist | 4710 Eastman Ave, Midland, MI 48640-2606 | 2017-11-15 |
| 1952774739 | Courtney Wilson | Acupuncturist | 4710 Eastman Ave, Midland, MI 48640-2606 | 2015-11-03 |
| 1851764666 | Midland Physical Therapy Sports Rehab | Physical Therapist | 4710 Eastman Ave, Midland, MI 48640-2606 | 2015-11-03 |
| 1700283462 | Mary Miller | Specialist/Technologist | 4710 Eastman Ave, Midland, MI 48640 | 2014-11-24 |
| 1417381070 | Midland Chiropractic | Chiropractor | 4710 Eastman Ave, Midland, MI 48641 | 2013-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481260 | Sdpa Management Pllc | Dentist | 4915 Jefferson Ave., Midland, MI 48640 | 2020-03-11 |
| 1598237364 | Michelle Marie Arthur | Occupational Therapist | 3007 North Saginaw Rd, Midland, MI 48640 | 2018-12-18 |
| 1295202349 | Personal Assistance Options | Private Vehicle | 1509 Washington Street, Suite C, Midland, MI 48640 | 2018-10-26 |
| 1972094720 | Ashley E Cline | Technician, Other | 5405 Oakridge Dr., Midland, MI 48640 | 2018-05-27 |
| 1669963898 | Hope Richelle Walker | Social Worker | 396 S 9 Mile Rd, Midland, MI 48640 | 2018-05-23 |
| 1568964807 | David Isaac Bearss | Physical Therapist | 4401 Campus Ridge Drive, Suite 1000, Midland, MI 48640 | 2018-03-02 |
| 1295237741 | Ashley Michelle Ghose | Physical Therapist | 4401 Campus Ridge Drive Suite 1000, Midland, MI 48640 | 2018-03-01 |
| 1801306055 | Elizabeth Diana Dickerson | Social Worker | 218 Fast Lane Drive, Midland, MI 48640 | 2017-10-02 |
| 1528502275 | Sheila Jensen | Behavior Technician | 248 E Dopp Rd, Midland, MI 48640 | 2016-12-15 |
| 1518328657 | Becky Staudacher | Technician, Other | 707 Mill St, Midland, MI 48640 | 2016-03-17 |
| Find all providers in zip 48640 | ||||
| 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 |
|---|---|---|---|---|
| 1578023834 | Christian Poldrack | Chiropractor | 3408 N Midkiff Rd Ste 307, Midland, TX 79705-4836 | 2019-03-22 |
| 1356844310 | Shawnee Rose Mangino | Chiropractor | 214 W Wackerly St Ste 100, Midland, MI 48640-2795 | 2018-03-15 |
| 1013362789 | Ryan Edwin Balzer | Chiropractor | 301 E Wackerly St, Midland, MI 48642-7062 | 2016-04-29 |
| 1497156624 | Wesley Harpham | Chiropractor | 601 E Wackerly St Ste 2, Midland, MI 48642-7071 | 2014-09-08 |
| 1215350186 | Kehres Health and Chiropractic | Chiropractor | 601 E Wackerly St, Suite 2, Midland, MI 48642-7047 | 2014-01-29 |
| 1164845061 | Sokorro Munoz | Chiropractor | 1211 E Pecan Ave, Midland, TX 79705-6819 | 2014-01-28 |
| 1760614572 | Health First Chiropractic Clinic of Midland, P.C. | Chiropractor | 2713 Rodd St, Midland, MI 48640-4403 | 2009-08-12 |
| 1457594541 | Healthway Chiropractic, Inc. | Chiropractor | 2525 Washington St Ste 500, Midland, MI 48642-4690 | 2009-04-20 |
| 1649448283 | John H Riggs IIi | Chiropractor | 4610 N Garfield St Ste B4, Midland, TX 79705-2652 | 2008-02-18 |
| 1912105818 | Daren Jean Overmiller | Chiropractor | 3205 W Cuthbert Ave Ste B2, Midland, TX 79701-5595 | 2007-07-03 |
| Find all providers in MIDLAND | ||||
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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.