Healthcare Provider Details

I. General information

NPI: 1326902115
Provider Name (Legal Business Name): JONATHAN A MAJCHRZAK PDDC, MS, BS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2742 S WESTGATE DR
BAY CITY MI
48706-2636
US

IV. Provider business mailing address

2742 S WESTGATE DR
BAY CITY MI
48706-2636
US

V. Phone/Fax

Practice location:
  • Phone: 989-213-9388
  • Fax: 989-213-9388
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: