Provider Demographics
NPI:1336238377
Name:SWINDLE, STEVEN JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JAMES
Last Name:SWINDLE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5795 BALSAM DR.
Mailing Address - Street 2:
Mailing Address - City:HUDSONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49426-1428
Mailing Address - Country:US
Mailing Address - Phone:616-662-1191
Mailing Address - Fax:616-662-1510
Practice Address - Street 1:5795 BALSAM DR.
Practice Address - Street 2:
Practice Address - City:HUDSONVILLE
Practice Address - State:MI
Practice Address - Zip Code:49426-1428
Practice Address - Country:US
Practice Address - Phone:616-662-1191
Practice Address - Fax:616-662-1510
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008574111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI144840026Medicaid
MI144840026Medicaid