Danielle Abitz Clark, DC | |
8175 Creekside Dr, Portage, MI 49024-5377 | |
(269) 324-5000 | |
Not Available |
Full Name | Danielle Abitz Clark |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 4 Years |
Location | 8175 Creekside Dr, Portage, Michigan |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578169181 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2301011030 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Express Your Health Llc | 6204852254 | 2 |
Provider Name | Express Your Health Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295925295 PECOS PAC ID: 6204852254 Enrollment ID: O20051019000116 |
Mailing Address | Practice Location Address |
---|---|
Danielle Abitz Clark, DC 188 Round Hill Rd, Kalamazoo, MI 49009-1287 Ph: (262) 995-5092 | Danielle Abitz Clark, DC 8175 Creekside Dr, Portage, MI 49024-5377 Ph: (269) 324-5000 |
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