Healthcare Provider Details

I. General information

NPI: 1689172439
Provider Name (Legal Business Name): JOSEPH JAMES HOUSE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2018
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5300 NORTHLAND DR NE STE F
GRAND RAPIDS MI
49525-1058
US

IV. Provider business mailing address

5300 NORTHLAND DR NE STE F
GRAND RAPIDS MI
49525-1058
US

V. Phone/Fax

Practice location:
  • Phone: 616-608-6475
  • Fax: 312-577-0433
Mailing address:
  • Phone: 616-608-6475
  • Fax: 312-577-0433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301010591
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: