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FOUNTAIN OF LIFE CHIROPRACTIC PC
NPI 1710323993
Chiropractor in Petoskey, MI

Active since May 15, 2013
267 CREEKSIDE DR, SUITE 100, PETOSKEY, MI 49770(231) 347-1776(231) 347-1778 Get Directions Write a Review

NPPES record last updated: May 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fountain Of Life Chiropractic Pc NPPES

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

FOUNTAIN OF LIFE CHIROPRACTIC PC (NPI 1710323993) is a healthcare organization registered as a chiropractor in Petoskey, Michigan and active in the NPI registry since May 2013. The organization lists Justin Nicholas Fountain, President/owner, as its authorized official.

NPPES Registry Identity

NPI1710323993
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameFOUNTAIN OF LIFE CHIROPRACTIC PC
Location Address267 CREEKSIDE DR, SUITE 100Petoskey, MI 49770-7609
Mailing Address267 Creekside Dr, Suite 100Petoskey, MI 49770-7609 · (231) 347-1776 · Fax (231) 347-1778
Phone(231) 347-1776
Fax(231) 347-1778
Organization SubpartNo
Authorized OfficialJustin Nicholas FountainPresident/owner · (906) 440-9272
Enumeration DateMay 15, 2013
✔ NPI 1710323993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
267 CREEKSIDE DR, Petoskey, MI 49770
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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 Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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.

NMRS, P.C.
Physical Medicine & Rehabilitation (Pain Medicine)
267 CREEKSIDE DR, SUITE 200
PETOSKEY, MI 49770
Emmet County (231) 348-1995
TOM TIETJEN MD PLLC
Internal Medicine (Gastroenterology)
267 CREEKSIDE DR, SUITE 200
PETOSKEY, MI 49770
Emmet County (231) 753-2105

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 Fountain Of Life Chiropractic PC's NPI number?

The NPI number for Fountain Of Life Chiropractic PC is 1710323993. It was assigned to this organization in the NPPES registry on May 15, 2013.

Where is Fountain Of Life Chiropractic PC located?

Fountain Of Life Chiropractic PC is located at 267 Creekside Dr Suite 100, Petoskey, MI 49770. The listed phone number is (231) 347-1776.

What is Fountain Of Life Chiropractic PC's specialty?

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

What insurance does Fountain Of Life Chiropractic PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Fountain Of Life Chiropractic PC 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 Fountain Of Life Chiropractic PC was last updated on May 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.