MEDICARE: JORDAN L BACH 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
1	111N00000X	Chiropractor	2301011075	MI

General Provider Information

NPI Number	:	1942965728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JORDAN L BACH D.C.

Provider Business Mailing Address
First Line	:	18875 E CHICAGO RD
Second Line	:
City	:	CEMENT CITY
State	:	MI
Zip	:	49233-9005
Country	:	US
Telephone Number	:	517-740-5485
Fax Number	:	517-800-3067

Provider Business Practice Location Address
First Line	:	18875 E CHICAGO RD
Second Line	:
City	:	CEMENT CITY
State	:	MI
Zip	:	49233-9005
Country	:	US
Telephone Number	:	517-740-5485
Fax Number	:	517-800-3067

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2021
Last Update Date	:	08/04/2025

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