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Contact Information

AUSTIN LAKE CHIROPRACTIC INC.
8827 PORTAGE RD
PORTAGE, MI49002-6415
 Phone: 269-324-1449
 Fax: 269-323-2970
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for AUSTIN LAKE CHIROPRACTIC INC.

NPI Number 1255409645
LBN Legal business name AUSTIN LAKE CHIROPRACTIC INC.
Authorized official MILTON LYNES - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2006
Last updated 10/28/2010 - About 16 years ago
Identifiers
MI License # 2301007246
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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