Healthcare Provider Details

I. General information

NPI: 1932236270
Provider Name (Legal Business Name): MCBAIN FAMILY CHIROPRACTIC CENTER P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N ROLAND ST
MC BAIN MI
49657-9683
US

IV. Provider business mailing address

100 N ROLAND ST PO BOX 207
MC BAIN MI
49657-9683
US

V. Phone/Fax

Practice location:
  • Phone: 231-825-8143
  • Fax: 231-825-0536
Mailing address:
  • Phone: 231-825-8143
  • Fax: 231-285-0536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberJG006101
License Number StateMI

VIII. Authorized Official

Name: DR. JEFFREY THOMAS GISCHIA
Title or Position: OWNER
Credential: DC
Phone: 231-825-8143