Provider Demographics
NPI:1487677555
Name:HEALTHY CONCEPTS INC.
Entity Type:Organization
Organization Name:HEALTHY CONCEPTS INC.
Other - Org Name:FRUITPORT CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SZATKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-865-6545
Mailing Address - Street 1:3427 FARR RD
Mailing Address - Street 2:
Mailing Address - City:FRUIT PORT
Mailing Address - State:MI
Mailing Address - Zip Code:49415
Mailing Address - Country:US
Mailing Address - Phone:231-865-6545
Mailing Address - Fax:231-865-6212
Practice Address - Street 1:3427 FARR RD
Practice Address - Street 2:
Practice Address - City:FRUIT PORT
Practice Address - State:MI
Practice Address - Zip Code:49415
Practice Address - Country:US
Practice Address - Phone:231-865-6545
Practice Address - Fax:231-865-6212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4336311Medicaid
MI0N22560Medicare ID - Type Unspecified
MI4336311Medicaid