Family Chiropractic Healthcare Center, Pllc | |
4612 Plainfield Ave Ne, Grand Rapids, MI 49525-1229 | |
(616) 363-7713 | |
(616) 363-4958 |
Full Name | Family Chiropractic Healthcare Center, Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 4612 Plainfield Ave Ne, Grand Rapids, 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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1598003717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2301005052 (Michigan) | Primary |
111N00000X | Chiropractor | 2301009813 (Michigan) | Secondary |
Provider Name | Daniel G Vangessel |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1780649186 PECOS PAC ID: 5799953709 Enrollment ID: I20110719000154 |
Provider Name | Adam T Vangessel |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1720370851 PECOS PAC ID: 4284802208 Enrollment ID: I20110719000244 |
Mailing Address | Practice Location Address |
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Family Chiropractic Healthcare Center, Pllc 4612 Plainfield Ave Ne, Grand Rapids, MI 49525-1229 Ph: () - | Family Chiropractic Healthcare Center, Pllc 4612 Plainfield Ave Ne, Grand Rapids, MI 49525-1229 Ph: (616) 363-7713 |
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