Jaan Douma, DC | |
5833 Oakland Dr, Portage, MI 49024-1163 | |
(269) 321-7733 | |
Not Available |
Full Name | Jaan Douma |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 25 Years |
Location | 5833 Oakland Dr, 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 |
---|---|---|---|
1912059668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2301008084 (Michigan) | Primary |
Provider Name | Douma Back & Neck Pain Relief Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922318013 PECOS PAC ID: 1557542826 Enrollment ID: O20110218000667 |
Mailing Address | Practice Location Address |
---|---|
Jaan Douma, DC 5833 Oakland Dr, Portage, MI 49024-1163 Ph: (269) 321-7733 | Jaan Douma, DC 5833 Oakland Dr, Portage, MI 49024-1163 Ph: (269) 321-7733 |
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