DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHAD LAKE D.C.

MEDICARE: CHAD LAKE D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2301008249MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508859877
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAD LAKE D.C.
Provider Business Mailing Address
First Line : 5680 E SAGINAW HWY
Second Line : SUITE C
City : GRAND LEDGE
State : MI
Zip : 48837-8102
Country : US
Telephone Number : 517-622-8552
Fax Number : 517-622-8591
Provider Business Practice Location Address
First Line : 5680 E SAGINAW HWY
Second Line : SUITE C
City : GRAND LEDGE
State : MI
Zip : 48837-8102
Country : US
Telephone Number : 517-622-8552
Fax Number : 517-622-8591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 07/09/2007

Similar Medicare Providers

1932106549 — JAMES J HANOSH JR. MD
Practice Location Address:
2440 N 11TH ST
GRAND JUNCTION, CO
81501-8102
Practice Phone: 970-243-0900
Practice Fax:
1245202647 — CHRISTOPHER J WIBBELSMAN MD
Practice Location Address:
2440 N 11TH ST
GRAND JUNCTION, CO
81501-8102
Practice Phone: 970-243-0900
Practice Fax: 970-245-4235
1164535340 — CRAIG HOLGER ANDERSEN MD
Practice Location Address:
2440 N 11TH ST
GRAND JUNCTION, CO
81501-8102
Practice Phone: 970-243-0900
Practice Fax:
1558474676 — DR. JOEL W SCHAEFER MD
Practice Location Address:
2440 N 11TH ST
GRAND JUNCTION, CO
81501-8102
Practice Phone: 970-257-4777
Practice Fax:
1669585790 — DR. GAYATHRI J SEKHARAN MD
Practice Location Address:
2440 N 11TH ST
GRAND JUNCTION, CO
81501-8102
Practice Phone: 970-625-1100
Practice Fax:
1447305818 — DR. ERIC J HANLY M.D.
Practice Location Address:
2440 N 11TH ST
GRAND JUNCTION, CO
81501-8102
Practice Phone: 970-243-0900
Practice Fax: 970-245-4235

Directions to “ CHAD LAKE D.C.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.