Provider Demographics
NPI:1407071228
Name:GREATER LANSING CHIROPRACTIC CLINICS INC
Entity Type:Organization
Organization Name:GREATER LANSING CHIROPRACTIC CLINICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:N
Authorized Official - Last Name:SCHULTZ
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:517-267-9888
Mailing Address - Street 1:15694 S US HIGHWAY 27
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48906-1486
Mailing Address - Country:US
Mailing Address - Phone:517-267-9888
Mailing Address - Fax:517-267-9051
Practice Address - Street 1:15694 S US HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48906-1486
Practice Address - Country:US
Practice Address - Phone:517-267-9888
Practice Address - Fax:517-267-9051
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301005842111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherTAX ID
U33204Medicare UPIN
0N35470Medicare PIN