Holly Elizebeth York, DC | |
3138 Broadmoor Ave Se, Kentwood, MI 49512-1845 | |
(616) 575-9105 | |
(616) 575-9107 |
Full Name | Holly Elizebeth York |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 17 Years |
Location | 3138 Broadmoor Ave Se, Kentwood, 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 |
---|---|---|---|
1376728568 | NPI | - | NPPES |
1376728568 | Other | MI | MEDICAID INDIVIDUAL ID |
1922191048 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2301009429 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peak Performance Chiropractic Plc | 7012918196 | 6 |
Provider Name | Peak Performance Chiropractic Plc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932250693 PECOS PAC ID: 7012918196 Enrollment ID: O20070117000242 |
Provider Name | Holly York Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073803250 PECOS PAC ID: 7012192529 Enrollment ID: O20110427000477 |
Mailing Address | Practice Location Address |
---|---|
Holly Elizebeth York, DC 3138 Broadmoor Ave Se, Kentwood, MI 49512-1845 Ph: (616) 575-9105 | Holly Elizebeth York, DC 3138 Broadmoor Ave Se, Kentwood, MI 49512-1845 Ph: (616) 575-9105 |
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