Healthcare Provider Details

I. General information

NPI: 1568373728
Provider Name (Legal Business Name): LIGHTHOUSE FAMILY CHIROPRACTIC P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 ARBOR LN
ALPENA MI
49707-1302
US

IV. Provider business mailing address

10432 WHISKEY POINT RD
PRESQUE ISLE MI
49777-8310
US

V. Phone/Fax

Practice location:
  • Phone: 989-414-2360
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: CARLEY E PAGELS
Title or Position: DC
Credential:
Phone: 989-766-0518