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9093 S. Kasson Street, Cedar, MI 49621 | |
(231) 228-5233 | |
(231) 228-5232 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 9093 S. Kasson Street, Cedar, 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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1184804528 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Neil B Jackson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1558304386 PECOS PAC ID: 3274543996 Enrollment ID: I20060426000170 |
Provider Name | Jeffrey K Shaw |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1033253059 PECOS PAC ID: 8820190788 Enrollment ID: I20070223000029 |
Mailing Address | Practice Location Address |
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Po Box 173, Cedar, MI 49621-0173 Ph: (231) 228-5233 | 9093 S. Kasson Street, Cedar, MI 49621 Ph: (231) 228-5233 |