Healthcare Provider Details
I. General information
NPI: 1134391477
Provider Name (Legal Business Name): HEALTH CHOICE CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/27/2008
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
611 HOWARD ST
KALAMAZOO MI
49008-1919
US
IV. Provider business mailing address
611 HOWARD ST
KALAMAZOO MI
49008-1919
US
V. Phone/Fax
- Phone: 269-381-0737
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 2301007498 |
| License Number State | MI |
VIII. Authorized Official
Name:
ROBIN
NIEZGODA
Title or Position: MANAGER
Credential: D.C.
Phone: 616-581-2068