Healthcare Provider Details

I. General information

NPI: 1396987426
Provider Name (Legal Business Name): CORNERSTONE CHIROPRACTIC & MASSAGE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2009
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4004 W ST JOE HWY
LANSING MI
48917-4215
US

IV. Provider business mailing address

4004 W ST JOE HWY
LANSING MI
48917-4215
US

V. Phone/Fax

Practice location:
  • Phone: 517-327-7463
  • Fax: 517-886-5238
Mailing address:
  • Phone: 517-327-7463
  • Fax: 517-886-5238

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License NumberBK007987
License Number StateMI

VIII. Authorized Official

Name: BRIAN KILLIAN
Title or Position: OWNER
Credential:
Phone: 517-927-9293