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General NPI Number Information
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NPI Number | 1730304148
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Entity Type | Organization
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Legal Business Name | MCNINCH CHIROPRACTIC CENTER, L.L.C.
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 1212 W OAK ST
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City | GREENVILLE
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State | MI
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Zip | 48838-2155
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Country | US
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Telephone | 616-754-4621
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Fax | 616-754-4679
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Provider Business Mailing Address
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Address Line | 1100 N LAFAYETTE ST
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City | GREENVILLE
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State | MI
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Zip | 48838-1132
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Country | US
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Telephone | 616-754-4621
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Fax | 616-754-4679
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLES JAMES MCNINCH
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Credential | DC
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Telephone | 616-754-4621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CM007870
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License Number State | MI
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