Countryside Chiropractic Center PLC
NPI 1053640912ActiveOrganization· Chiropractor· Clare, MI
Chiropractor in Clare, Michigan, registered in NPPES in December 2009. The authorized official on file is Lisa M. Jaco, D.C, Owner/President.
Overview
| NPI | 1053640912 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 23, 2009 |
| Last updated in NPPES | Dec 23, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 2301008270 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other chiropractors in Clare
- 1063571719
- 1124489000
- 1184636813
- 1245505064
- 1295719979
- 1306469317
- 1316016991
- 1457464307
- 1497172563
- 1861853749
- 1952845729
- 1447281993
All 17 chiropractors in Clare · All chiropractors in Michigan