100 Percent Chiropractic Santos, Llc | |
2321 E Beltline Ave Ne Ste D, Grand Rapids, MI 49525-9803 | |
(616) 206-4294 | |
Not Available |
Full Name | 100 Percent Chiropractic Santos, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 2321 E Beltline Ave Ne Ste D, Grand Rapids, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477185312 | NPI | - | NPPES |
2301010863 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Angel Santos |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1932731874 PECOS PAC ID: 7113343526 Enrollment ID: I20200817001390 |
Provider Name | Erika Segraves |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1922630862 PECOS PAC ID: 6305262718 Enrollment ID: I20200817001525 |
Mailing Address | Practice Location Address |
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100 Percent Chiropractic Santos, Llc 2321 E Beltline Ave Ne Ste D, Grand Rapids, MI 49525-9803 Ph: (616) 206-4294 | 100 Percent Chiropractic Santos, Llc 2321 E Beltline Ave Ne Ste D, Grand Rapids, MI 49525-9803 Ph: (616) 206-4294 |
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