South Haven Chiropractic Clinic
Chiropractor in South Haven, MI. Organization (NPI-2).
NPI number1962679670
StatusActive
Last updated in NPPESMay 12, 2008
Details
- NPI
- 1962679670
- Entity type
- Organization (NPI-2)
- Legal business name
- South Haven Chiropractic Clinic
- Organization subpart
- Yes
- Enumeration date
- May 12, 2008
- Last updated
- May 12, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 2301006100 | MI | Yes |
Practice location
1210 Phoenix StSuite 10
South Haven, MI 49090-7913
Phone 269-639-7200 · Fax 269-621-2556
Mailing address
Po Box 621Hartford, MI 49057-0621
Phone 269-621-3800 · Fax 269-621-2556
Authorized official
Ahad E. Lotfi
Owner/Chiropractor
2696397200
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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