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NPI Code Detail

MEDICARE: CHARLES JAMES MCNINCH DC

MEDICARE:   CHARLES JAMES MCNINCH  DC
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
1111N00000XChiropractor2301007870MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1010555581OTHERMIPPOM
2950E910200OTHERMIBLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922057603
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES JAMES MCNINCH DC
Provider Business Mailing 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
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 09/03/2025

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Directions to “ CHARLES JAMES MCNINCH DC” Practice Location

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