Bay De Noc Chiropractic Center, P.c. | |
116 N 9th St, Suite A, Gladstone, MI 49837-1660 | |
(906) 428-9640 | |
(906) 428-9641 |
Full Name | Bay De Noc Chiropractic Center, P.c. |
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Type | Facility |
Speciality | Chiropractor |
Location | 116 N 9th St, Gladstone, 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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1306061296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2301008810 (Michigan) | Primary |
Provider Name | Kevin L Boudreau |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1679516223 PECOS PAC ID: 4486619897 Enrollment ID: I20041129000137 |
Mailing Address | Practice Location Address |
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Bay De Noc Chiropractic Center, P.c. 116 N 9th St, Suite A, Gladstone, MI 49837-1660 Ph: (906) 428-9640 | Bay De Noc Chiropractic Center, P.c. 116 N 9th St, Suite A, Gladstone, MI 49837-1660 Ph: (906) 428-9640 |
Family Roots Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 8 S 11th St, Gladstone, MI 49837 Phone: 906-399-5636 | |
Margo Irene Fairbanks, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 510 S 9th St, Gladstone, MI 49837 Phone: 906-428-1679 Fax: 906-428-1679 | |
Dr. Patrick Dean Johnson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1010 Delta Ave, Suite 216, Gladstone, MI 49837 Phone: 906-428-9076 Fax: 906-368-4343 | |
David Lee Fairbanks, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 510 S 9th St, Gladstone, MI 49837 Phone: 906-428-1679 Fax: 906-428-4643 | |
Dr. Kevin Lawrence Boudreau, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 116 N 9th St, Suite A, Gladstone, MI 49837 Phone: 906-428-9640 Fax: 906-428-9641 | |
Fairbanks Family Chiropractic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 510 S 9th St, Gladstone, MI 49837 Phone: 906-428-1679 Fax: 906-428-1679 |