Provider Demographics
NPI:1205372752
Name:PPSH CHIROPRACTIC CLINICS, PLLC
Entity Type:Organization
Organization Name:PPSH CHIROPRACTIC CLINICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:J
Authorized Official - Last Name:KRAPF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:269-639-7200
Mailing Address - Street 1:PO BOX 375
Mailing Address - Street 2:
Mailing Address - City:PAW PAW
Mailing Address - State:MI
Mailing Address - Zip Code:49079-0375
Mailing Address - Country:US
Mailing Address - Phone:269-657-4200
Mailing Address - Fax:269-657-4200
Practice Address - Street 1:1210 PHOENIX ST STE 10
Practice Address - Street 2:
Practice Address - City:SOUTH HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49090-7914
Practice Address - Country:US
Practice Address - Phone:269-639-7200
Practice Address - Fax:269-639-7200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-09
Last Update Date:2017-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty