Provider Demographics
NPI:1932288800
Name:GRACE, JANICE E (DC)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:E
Last Name:GRACE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:968 GRAHAM LAKE TER
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49014-8309
Mailing Address - Country:US
Mailing Address - Phone:269-979-4381
Mailing Address - Fax:
Practice Address - Street 1:420 E MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MI
Practice Address - Zip Code:49068-1667
Practice Address - Country:US
Practice Address - Phone:269-781-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI8137111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor