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GREAT LAKES SPINE & REHAB CLINIC LLC
NPI 1285929547
Chiropractor in Riverview, MI

Active since June 15, 2011
14500 KING RD, RIVERVIEW, MI 48193(734) 560-7300(734) 250-7454 Get Directions Write a Review

NPPES record last updated: December 29, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Great Lakes Spine & Rehab Clinic Llc NPPES

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

GREAT LAKES SPINE & REHAB CLINIC LLC (NPI 1285929547) is a healthcare organization registered as a chiropractor in Riverview, Michigan and active in the NPI registry since June 2011. The organization lists Richard J Stanley, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1285929547
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameGREAT LAKES SPINE & REHAB CLINIC LLC
Location Address14500 KING RDRiverview, MI 48193-7957
Mailing Address14500 King RdRiverview, MI 48193-7957 · (734) 560-7300 · Fax (734) 250-7454
Phone(734) 560-7300
Fax(734) 250-7454
Organization SubpartNo
Authorized OfficialRichard J StanleyChiropractor · (734) 560-7300
Enumeration DateJune 15, 2011
Last NPPES UpdateDecember 29, 2011
✔ NPI 1285929547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MI · RS008086
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.
14500 KING RD, Riverview, MI 48193
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Other Identifiers 4

Medicare UPINU80431MI
Medicaid4829904-14MI
Medicare PIN0N34030MI
Other950H217760MI · Bcbsm

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.

AARON BARRY RIVES DPM
Podiatrist
14500 KING RD, STE 2
RIVERVIEW, MI 48193
Wayne County (734) 479-1410
DR. MEHUL CHANDRAVADAN PATEL DDS
Dentist
14500 KING RD, SUITE 3
RIVERVIEW, MI 48193
Wayne County (734) 479-1340

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 Great Lakes Spine & Rehab Clinic LLC's NPI number?

The NPI number for Great Lakes Spine & Rehab Clinic LLC is 1285929547. It was assigned to this organization in the NPPES registry on June 15, 2011.

Where is Great Lakes Spine & Rehab Clinic LLC located?

Great Lakes Spine & Rehab Clinic LLC is located at 14500 King Rd, Riverview, MI 48193. The listed phone number is (734) 560-7300.

What is Great Lakes Spine & Rehab Clinic LLC'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 Great Lakes Spine & Rehab Clinic LLC was last updated on December 29, 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.