| Lakeshore Family Chiropractic, Plc | |
|
244 James St Ste. B Holland MI 49424-2980 | |
| (616) 396-6635 | |
| (616) 396-6679 |
| Full Name | Lakeshore Family Chiropractic, Plc |
|---|---|
| Speciality | Clinic/Center |
| Location | 244 James St, Holland, Michigan |
| Authorized Official Name and Position | Blake Rushford Spooner (OWNER/OPERATOR) |
| Authorized Official Contact | 6163966635 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Family Chiropractic, Plc 244 James St Ste. B Holland MI 49424-2980 Ph: (616) 396-6635 | Lakeshore Family Chiropractic, Plc 244 James St Ste. B Holland MI 49424-2980 Ph: (616) 396-6635 |
| NPI Number | 1508978933 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1759386790 |
|---|---|
| Medicare Enrollment ID | O20060925000503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508978933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2301009161 (Michigan) | Primary |
| Provider Name | Blake R Spooner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245263128 PECOS PAC ID: 8628072022 Enrollment ID: I20060825000357 |
| Provider Name | Kyle Jon Blauwkamp |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225397615 PECOS PAC ID: 4688839780 Enrollment ID: I20120622000063 |
| Provider Name | Ronald Henry Rabineau |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396131413 PECOS PAC ID: 8527379064 Enrollment ID: I20150624001765 |
| Provider Name | Jacqueline L Prins |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1811440167 PECOS PAC ID: 9335435205 Enrollment ID: I20160901002351 |
| Provider Name | Tyler Gene Gunderson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902567514 PECOS PAC ID: 1456743731 Enrollment ID: I20220118002043 |
| Provider Name | Cort Jacob Musolf |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1215683099 PECOS PAC ID: 7113371832 Enrollment ID: I20230929000891 |
Lakeshore Internal Medicine And Pediatric Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 437 North 120th Ave, Holland, MI 49424 Phone: 616-738-0737 | |
Hh Services - South Washington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 Washington Ave, Holland, MI 49423 Phone: 616-796-2880 | |
Corewell Health Medical Group West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Columbia Ave, Holland, MI 49423 Phone: 616-820-7400 | |
American Current Care Of Michigan, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 N 120th Ave, Holland, MI 49424 Phone: 866-944-6046 | |
Lakewood Family Medicine Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 382 N 120th Ave, Holland, MI 49424 Phone: 616-396-6516 Fax: 616-396-2513 | |
Holland Hospital Family Medicine - South Washington Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 Washington Ave, Holland, MI 49423 Phone: 616-392-8035 | |
Corewell Health Medical Group West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 E 8th St, Holland, MI 49423 Phone: 616-494-5970 Fax: 616-494-5975 |