Provider Demographics
NPI:1992203558
Name:CARLS CHIROPRACTIC HEALTH CENTER, PLLC
Entity type:Organization
Organization Name:CARLS CHIROPRACTIC HEALTH CENTER, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:CARLS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:269-344-7946
Mailing Address - Street 1:952 VASSAR DR
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49001-4436
Mailing Address - Country:US
Mailing Address - Phone:269-344-7946
Mailing Address - Fax:269-344-6196
Practice Address - Street 1:952 VASSAR DR
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49001-4436
Practice Address - Country:US
Practice Address - Phone:269-344-7946
Practice Address - Fax:269-344-6196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-30
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJC002732111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty