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GREAT LAKES SPINE AND MEDICAL PLLC
NPI 1750080545
Durable Medical Equipment & Medical Supplies in Holt, MI

Active since March 01, 2023
4573 WILLOUGHBY RD STE B, HOLT, MI 48842(517) 699-2646(517) 699-5434 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Lakes Spine And Medical Pllc NPPES

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

GREAT LAKES SPINE AND MEDICAL PLLC (NPI 1750080545) is a healthcare organization registered as a durable medical equipment & medical supplies in Holt, Michigan and active in the NPI registry since March 2023. The organization lists Jeffrey A Kelly, Owner, as its authorized official.

NPPES Registry Identity

NPI1750080545
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameGREAT LAKES SPINE AND MEDICAL PLLC
Location Address4573 WILLOUGHBY RD STE BHolt, MI 48842-2188
Mailing Address4573 Willoughby Rd Ste BHolt, MI 48842-2188 · (517) 699-2646 · Fax (517) 699-5434
Phone(517) 699-2646
Fax(517) 699-5434
Organization SubpartNo
Authorized OfficialJeffrey A KellyOwner · (989) 792-6702
Enumeration DateMarch 1, 2023
NPPES CertifiedMarch 1, 2023
✔ NPI 1750080545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
4573 WILLOUGHBY RD STE B, Holt, MI 48842
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Other Providers at the Same Location NPPES 3

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

HOLT FAMILY CHIROPRACTIC PLLC
Chiropractor
4573 WILLOUGHBY RD STE B
HOLT, MI 48842
Ingham County (517) 699-2646
DR. GUY CHARLES GIORDANO D.C.
Chiropractor
4573 WILLOUGHBY RD STE B
HOLT, MI 48842
Ingham County (517) 699-2646
JESSICA COLEMAN DC
Chiropractor
4573 WILLOUGHBY RD STE B
HOLT, MI 48842
Ingham County (517) 699-2646

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 And Medical PLLC's NPI number?

The NPI number for Great Lakes Spine And Medical PLLC is 1750080545. It was assigned to this organization in the NPPES registry on March 1, 2023.

Where is Great Lakes Spine And Medical PLLC located?

Great Lakes Spine And Medical PLLC is located at 4573 Willoughby Rd Ste B, Holt, MI 48842. The listed phone number is (517) 699-2646.

What is Great Lakes Spine And Medical PLLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Great Lakes Spine And Medical PLLC was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.