DR. BRIAN JACOB WOLTERS (NPI# 1902355076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902355076 |
| Entity Type | Individual |
| Full Name | DR. BRIAN JACOB WOLTERS |
| Credential | D.C. |
| Practice Address |
7579 Main Street Jenison MI 49428 |
| Practice Telephone | 6164574511 |
| Practice Fax Number | 6166671936 |
| Mailing Telephone | 6164574511 |
| Mailing Fax Number | 6166671936 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2301010407 | MI | Chiropractic Providers |
| Street Address |
7579 MAIN STREET |
| City | JENISON |
| State | MI |
| Zip Code | 49428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730530569 | Michael Walton | Counselor | 7678 Cottonwood Dr Ste C, Jenison, MI 49428 | 2016-06-22 |
| 1972950301 | Kyler Ross Debruyn | Student in an Organized Health Care Education/Training Program | 1932 Cedarbrook Drive, Jenison, MI 49428 | 2016-05-16 |
| 1932529799 | Patrick Christopher Schafer | Family Medicine | 345 Baldwin St, Jenison, MI 49428 | 2014-04-21 |
| 1548469216 | Sarah Anne Sainem Gordon | Counselor | 7506 Church Street, Jenison, MI 49428 | 2007-07-13 |
| 1265578900 | Stephen Mitchael Dadd | Dentist | 657 Baldwin St, Jenison, MI 49428 | 2007-01-29 |
| 1831277136 | Tyler Andrew Wolf | Dentist | 7678 Cottonwood Dr, Jenison, MI 49428 | 2006-11-02 |
| 1497840342 | Bruce A Seitz Dds PC | Dentist | 701 Baldwin, Jenison, MI 49428 | 2006-10-04 |
| 1134221260 | Aaron N Kik | Chiropractor | 7646 20th Ave, Jenison, MI 49428 | 2006-09-01 |
| 1700899135 | Mark Laman Powell | Dentist | 2076 Baldwin Dr, Jenison, MI 49428 | 2006-08-15 |
| 1477508174 | David John Estefan | Chiropractor | 1838 Baldwin St., Jenison, MI 49428 | 2006-05-23 |
| Find all providers in zip 49428 | ||||
| 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 |
|---|---|---|---|---|
| 1932470929 | Daniel J Weessies | Chiropractor | 7610 Cottonwood Dr Ste 101, Jenison, MI 49428-8310 | 2012-01-23 |
| 1568592889 | James Harold Waswick | Chiropractor | 6491b San Ru Ave, Jenison, MI 49428-8185 | 2007-03-06 |
| 1891849709 | Jeffrey E Arntson | Chiropractor | 6491 San Ru Ave, Suite B, Jenison, MI 49428-8185 | 2007-01-22 |
| 1952471294 | Susan Elizabeth Gordon-arntson | Chiropractor | 6491 San Ru Ave Ste B, Jenison, MI 49428-8185 | 2006-11-08 |
| 1740373836 | Donald Alan Steketee | Chiropractor | 7484 Main St, Jenison, MI 49428-9304 | 2006-10-02 |
| 1134221260 | Aaron N Kik | Chiropractor | 7646 20th Ave, Jenison, MI 49428 | 2006-09-01 |
| 1477508174 | David John Estefan | Chiropractor | 1838 Baldwin St., Jenison, MI 49428 | 2006-05-23 |
| 1982667440 | Thomas Daniel Martinez | Chiropractor | 996 Chicago Dr, Jenison, MI 49428-9351 | 2006-04-07 |
| 1578547907 | Craig Stephen Rockwell | Chiropractor | 7579 Main St, Jenison, MI 49428-9251 | 2005-11-30 |
| 1346241742 | Eric Ryan Hartman | Chiropractor | 302 Baldwin St, Jenison, MI 49428-7909 | 2005-08-09 |
| Find all providers in JENISON | ||||
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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.