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COUNTRYSIDE CHIROPRACTIC CENTER PLC
NPI 1053640912
Chiropractor in Clare, MI

Active since December 23, 2009
2100 S CLARE AVE, CLARE, MI 48617(989) 386-2931(989) 386-3509 Get Directions Write a Review

NPPES record last updated: December 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Countryside Chiropractic Center Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRYSIDE CHIROPRACTIC CENTER PLC (NPI 1053640912) is a healthcare organization registered as a chiropractor in Clare, Michigan and active in the NPI registry since December 2009. The organization lists Lisa M Jaco, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1053640912
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCOUNTRYSIDE CHIROPRACTIC CENTER PLC
Location Address2100 S CLARE AVEClare, MI 48617-9755
Mailing Address2100 S Clare AveClare, MI 48617-9755 · (989) 386-2931 · Fax (989) 386-3509
Phone(989) 386-2931
Fax(989) 386-3509
Organization SubpartNo
Authorized OfficialLisa M JacoOwner/president · (989) 386-2931
Enumeration DateDecember 23, 2009
✔ NPI 1053640912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301008270
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2100 S CLARE AVE, Clare, MI 48617
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Other Identifiers 3

Medicaid4282720MI
Other0A850110MI · Blue Cross And Blue Shield Of Michigan
Medicare PINON1990MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LISA MARIE JACO-MITCHELL D.C
Chiropractor
2100 S CLARE AVE
CLARE, MI 48617
Clare County (989) 386-2931

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Countryside Chiropractic Center Plc's NPI number?

The NPI number for Countryside Chiropractic Center Plc is 1053640912. It was assigned to this organization in the NPPES registry on December 23, 2009.

Where is Countryside Chiropractic Center Plc located?

Countryside Chiropractic Center Plc is located at 2100 S Clare Ave, Clare, MI 48617. The listed phone number is (989) 386-2931.

What is Countryside Chiropractic Center Plc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Countryside Chiropractic Center Plc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Countryside Chiropractic Center Plc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Countryside Chiropractic Center Plc was last updated on December 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.