Individual
CHARLES JAMES MCNINCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1212 W OAK ST, GREENVILLE, MI 48838-2155
(616) 754-4621
(616) 754-4679
Mailing address
1212 W OAK ST, GREENVILLE, MI 48838-2155
(616) 754-4621
(616) 754-4679
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007870
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010555581
PPOM
MI
05
—
4374626
—
MI
01
—
950E910200
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/09/2006
Last updated
09/03/2025
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