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18875 E Chicago Rd, Cement City, MI 49233-9005 | |
(517) 442-4805 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 18875 E Chicago Rd, Cement City, 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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1619733763 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Jordan L Bach |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1942965728 PECOS PAC ID: 3476918517 Enrollment ID: I20240503002102 |
Mailing Address | Practice Location Address |
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18875 E Chicago Rd, Cement City, MI 49233-9005 Ph: (517) 740-5485 | 18875 E Chicago Rd, Cement City, MI 49233-9005 Ph: (517) 442-4805 |