Fountain of Life Chiropractic PC
NPI 1710323993ActiveOrganization· Chiropractor· Petoskey, MI
Chiropractor in Petoskey, Michigan, registered in NPPES in May 2013. The authorized official on file is Justin Nicholas Fountain, D.C., President/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710323993 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 15, 2013 |
| Last updated in NPPES | May 15, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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