Fully Alive Family Chiropractic | |
2600 Lincoln Ave Ste A, Saint Joseph, MI 49085 | |
(269) 556-9654 | |
(269) 556-9735 |
Full Name | Fully Alive Family Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 2600 Lincoln Ave Ste A, Saint Joseph, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801098256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | TC009168 (Michigan) | Primary |
Provider Name | Tara D Scharich |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1932145786 PECOS PAC ID: 4789687831 Enrollment ID: I20060810000443 |
Mailing Address | Practice Location Address |
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Fully Alive Family Chiropractic 2600 Lincoln Ave Ste A, Saint Joseph, MI 49085-3305 Ph: (269) 556-9654 | Fully Alive Family Chiropractic 2600 Lincoln Ave Ste A, Saint Joseph, MI 49085 Ph: (269) 556-9654 |
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