Provider Demographics
NPI:1861571770
Name:LEDGES CHIROPRACTIC CENTER PLLC
Entity type:Organization
Organization Name:LEDGES CHIROPRACTIC CENTER PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SETTIMI
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:517-627-7070
Mailing Address - Street 1:229 N BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:GRAND LEDGE
Mailing Address - State:MI
Mailing Address - Zip Code:48837
Mailing Address - Country:US
Mailing Address - Phone:517-627-7070
Mailing Address - Fax:517-627-0976
Practice Address - Street 1:229 N BRIDGE ST
Practice Address - Street 2:
Practice Address - City:GRAND LEDGE
Practice Address - State:MI
Practice Address - Zip Code:48837
Practice Address - Country:US
Practice Address - Phone:517-627-7070
Practice Address - Fax:517-627-0976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950B310450OtherBCBS
MION84420Medicare ID - Type Unspecified