Dr Wm Ryan Reynolds, DC | |
8150 Moorsbridge Rd Ste B, Portage, MI 49024-7419 | |
(269) 343-2667 | |
Not Available |
Full Name | Dr Wm Ryan Reynolds |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 19 Years |
Location | 8150 Moorsbridge Rd Ste B, Portage, 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 |
---|---|---|---|
1598739112 | NPI | - | NPPES |
4962083 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2301009081 (Michigan) | Secondary |
111NX0800X | Chiropractor - Orthopedic | WR009081 (Michigan) | Primary |
Provider Name | Reynolds Chiropractic Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063550143 PECOS PAC ID: 9335461854 Enrollment ID: O20141211000209 |
Mailing Address | Practice Location Address |
---|---|
Dr Wm Ryan Reynolds, DC 8150 Moorsbridge Rd Ste B, Suite B, Portage, MI 49024-7419 Ph: (269) 343-2667 | Dr Wm Ryan Reynolds, DC 8150 Moorsbridge Rd Ste B, Portage, MI 49024-7419 Ph: (269) 343-2667 |
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