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CRYSTAL LAKE CHIROPRACTIC, PLC
NPI 1053691618
Chiropractor in Benzonia, MI

Active since August 26, 2011
6635 NORTH ST, BENZONIA, MI 49616(231) 882-5533(231) 882-1361 Get Directions Write a Review

NPPES record last updated: September 28, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystal Lake Chiropractic, Plc NPPES

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

CRYSTAL LAKE CHIROPRACTIC, PLC (NPI 1053691618) is a healthcare organization registered as a chiropractor in Benzonia, Michigan and active in the NPI registry since August 2011. The organization lists Janine Felice-johnson, President, as its authorized official.

NPPES Registry Identity

NPI1053691618
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameCRYSTAL LAKE CHIROPRACTIC, PLC
Location Address6635 NORTH STBenzonia, MI 49616-9765
Mailing Address6635 North StBenzonia, MI 49616-9765 · (231) 882-5533 · Fax (231) 882-1361
Phone(231) 882-5533
Fax(231) 882-1361
Organization SubpartNo
Authorized OfficialJanine Felice-johnsonPresident · (231) 882-5533
Enumeration DateAugust 26, 2011
Last NPPES UpdateSeptember 28, 2011
✔ NPI 1053691618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · 2301007090
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.
6635 NORTH ST, Benzonia, MI 49616
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Other Identifiers 3

Medicare PIN0M05100MI
Other950A010070MI · Bcbs
Medicare UPINT83741MI

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

Other Providers at the Same Location NPPES 2

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

DR. JANINE FELICE-JOHNSON D.C.
Chiropractor
6635 NORTH ST
BENZONIA, MI 49616
Benzie County (231) 882-5533
JOHNSON CHIROPRACTIC ASSOCIATES, P.C.
Chiropractor (Neurology)
6635 NORTH ST
BENZONIA, MI 49616
Benzie County (231) 882-5533

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 Crystal Lake Chiropractic, Plc's NPI number?

The NPI number for Crystal Lake Chiropractic, Plc is 1053691618. It was assigned to this organization in the NPPES registry on August 26, 2011.

Where is Crystal Lake Chiropractic, Plc located?

Crystal Lake Chiropractic, Plc is located at 6635 North St, Benzonia, MI 49616. The listed phone number is (231) 882-5533.

What is Crystal Lake Chiropractic, Plc's specialty?

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

When was this NPI record last updated?

The NPPES record for Crystal Lake Chiropractic, Plc was last updated on September 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.