Provider Demographics
NPI:1659815991
Name:HEALTHY CHOICE FAMILY CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:HEALTHY CHOICE FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THERESE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:HOUSE-VEREEKE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:616-426-8500
Mailing Address - Street 1:5211 CHERRY AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:HUDSONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49426-1447
Mailing Address - Country:US
Mailing Address - Phone:616-426-8500
Mailing Address - Fax:616-426-8501
Practice Address - Street 1:5211 CHERRY AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:HUDSONVILLE
Practice Address - State:MI
Practice Address - Zip Code:49426-1447
Practice Address - Country:US
Practice Address - Phone:616-426-8500
Practice Address - Fax:616-426-8501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-06
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009658111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty