Active Life Chiropractic | |
2700 5 Mile Rd Ne, Suite 101, Grand Rapids, MI 49525-6516 | |
(616) 361-9888 | |
Not Available |
Full Name | Active Life Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 2700 5 Mile Rd Ne, 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 |
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1992953939 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 23010009468 (Michigan) | Primary |
Provider Name | David L Ward |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1437313301 PECOS PAC ID: 4082781935 Enrollment ID: I20080918000722 |
Mailing Address | Practice Location Address |
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Active Life Chiropractic 2700 5 Mile Rd Ne, Suite 101, Grand Rapids, MI 49525-6516 Ph: (616) 361-9888 | Active Life Chiropractic 2700 5 Mile Rd Ne, Suite 101, Grand Rapids, MI 49525-6516 Ph: (616) 361-9888 |
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