Angel Santos, | |
2321 E Beltline Ave Ne Ste D, Grand Rapids, MI 49525-9803 | |
(616) 206-4294 | |
Not Available |
Full Name | Angel Santos |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 5 Years |
Location | 2321 E Beltline Ave Ne Ste D, Grand Rapids, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932731874 | NPI | - | NPPES |
CHIR010265 | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHIR010265 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
100 Percent Chiropractic Santos Llc | 9032535448 | 2 |
Provider Name | 100 Percent Chiropractic Santos Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477185312 PECOS PAC ID: 9032535448 Enrollment ID: O20200817001176 |
Mailing Address | Practice Location Address |
---|---|
Angel Santos, 2321 E Beltline Ave Ne Ste D, Grand Rapids, MI 49525-9803 Ph: () - | Angel Santos, 2321 E Beltline Ave Ne Ste D, Grand Rapids, MI 49525-9803 Ph: (616) 206-4294 |
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