Kentwood Family Chiropractic, Llc | |
2627 E Beltline Ave Se Ste 110, Grand Rapids, MI 49546-5937 | |
(563) 639-0221 | |
Not Available |
Full Name | Kentwood Family Chiropractic, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 2627 E Beltline Ave Se Ste 110, 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 |
---|---|---|---|
1013698315 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Paul Jeremy Mcallister |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1023490687 PECOS PAC ID: 3072821123 Enrollment ID: I20151009000608 |
Mailing Address | Practice Location Address |
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Kentwood Family Chiropractic, Llc 1074 Borden Dr, Gaylord, MI 49735-9207 Ph: (563) 639-0221 | Kentwood Family Chiropractic, Llc 2627 E Beltline Ave Se Ste 110, Grand Rapids, MI 49546-5937 Ph: (563) 639-0221 |
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