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NPI Code Detail

MEDICARE: MCNINCH CHIROPRACTIC CENTER, L.L.C.

MEDICARE: MCNINCH CHIROPRACTIC CENTER, 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
1111N00000XChiropractorCM007870MI

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 : 1730304148
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCNINCH CHIROPRACTIC CENTER, L.L.C.
Provider Business Mailing Address
First Line : 1100 N LAFAYETTE ST
Second Line :
City : GREENVILLE
State : MI
Zip : 48838-1132
Country : US
Telephone Number : 616-754-4621
Fax Number : 616-754-4679
Provider Business Practice Location Address
First Line : 1212 W OAK ST
Second Line :
City : GREENVILLE
State : MI
Zip : 48838-2155
Country : US
Telephone Number : 616-754-4621
Fax Number : 616-754-4679
Authorized Official
Title or Position : OWNER
Name : DR. CHARLES JAMES MCNINCH
Credential : DC
Telephone Number : 616-754-4621
Provider Enumeration Date : 04/13/2007
Last Update Date : 09/03/2025

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