Great Lakes Chiropractic of St. Michael PLLC Ltd
NPI 1902308901ActiveOrganization· Chiropractor· Saint Michael, MN
Chiropractor in Saint Michael, Minnesota, registered in NPPES in March 2018. The authorized official on file is Kimberly Martin, DC, Chiropractor/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902308901 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 6, 2018 |
| Last updated in NPPES | May 29, 2018 |
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 (MN) |
|---|
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