Healthcare Provider Details

I. General information

NPI: 1891419263
Provider Name (Legal Business Name): NEURODC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2022
Last Update Date: 10/10/2024
Certification Date: 10/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8152 N 32ND ST STE C
RICHLAND MI
49083-8500
US

IV. Provider business mailing address

8152 N 32ND ST STE C
RICHLAND MI
49083-8500
US

V. Phone/Fax

Practice location:
  • Phone: 269-267-8459
  • Fax:
Mailing address:
  • Phone: 269-267-8459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY KURTZ
Title or Position: OWNER
Credential: DC
Phone: 269-350-9000