MEDICARE: WAVERLY CHIROPRACTIC CENTER P.L.L.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
1	111N00000X	Chiropractor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	950B310460	OTHER		BCBS

General Provider Information

NPI Number	:	1588767156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAVERLY CHIROPRACTIC CENTER P.L.L.C.

Provider Business Mailing Address
First Line	:	5021 W. SAINT JOSEPH HWY SUITE 1
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48917
Country	:	US
Telephone Number	:	517-394-3353
Fax Number	:	517-394-2723

Provider Business Practice Location Address
First Line	:	5021 W. SAINT JOSEPH HWY SUITE 1
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48917
Country	:	US
Telephone Number	:	517-394-3353
Fax Number	:	517-394-2723

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HARRY A SETTIMI JR.
Credential	:	D.C.
Telephone Number	:	517-394-3353

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	10/31/2011

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Directions to “WAVERLY CHIROPRACTIC CENTER P.L.L.C. ” Practice Location

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