Provider Demographics
NPI:1649484403
Name:NATURAL CHOICE CHIROPRACTIC LLC
Entity type:Organization
Organization Name:NATURAL CHOICE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAMPEDRO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:616-827-2350
Mailing Address - Street 1:5260 KALAMAZOO AVE SE
Mailing Address - Street 2:
Mailing Address - City:KENTWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49508-6131
Mailing Address - Country:US
Mailing Address - Phone:616-827-2350
Mailing Address - Fax:616-827-2351
Practice Address - Street 1:5260 KALAMAZOO AVE SE
Practice Address - Street 2:
Practice Address - City:KENTWOOD
Practice Address - State:MI
Practice Address - Zip Code:49508-6131
Practice Address - Country:US
Practice Address - Phone:616-827-2350
Practice Address - Fax:616-827-2351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1942289525OtherNPI
MI1013996024OtherNPI NUMBER
MIP00297168Medicare ID - Type UnspecifiedMEDICARE RAILROAD
MI1942289525OtherNPI