Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Countryside Chiropractic Center PLC

Organization Chiropractor · NPI 1053640912

Countryside Chiropractic Center PLC is a Chiropractor in Clare, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009

Practice location Address checks out

2100 S Clare Ave
Clare, MI 48617-9755
Phone: (989) 386-2931
Fax: (989) 386-3509
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2301008270 (MI)

Record details

NPI number1053640912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Jaco — Owner/President · (989) 386-2931
NPI enumeratedDecember 23, 2009
Last updated in NPPESDecember 23, 2009
Mailing address2100 S Clare Ave, Clare, MI 48617-9755

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