Healthcare Provider Details

I. General information

NPI: 1215280862
Provider Name (Legal Business Name): SAUGATUCK CHIROPRACTIC CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2012
Last Update Date: 10/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3219 BLUE STAR HWY 200
SAUGATUCK MI
49453-9786
US

IV. Provider business mailing address

3219 BLUE STAR HWY 200
SAUGATUCK MI
49453-9786
US

V. Phone/Fax

Practice location:
  • Phone: 269-857-1900
  • Fax: 269-857-1900
Mailing address:
  • Phone: 269-857-1900
  • Fax: 269-857-1900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301009993
License Number StateMI

VIII. Authorized Official

Name: DR. CURTIS DUANE DAY
Title or Position: OWNER/DIRECTOR
Credential: D.C.
Phone: 269-857-1900