| Kooistra Chiropractic Clinic Pllc | |
|
2855 Byron Center Ave Sw, Wyoming, MI 49519-2415 | |
| (616) 532-2518 | |
| (616) 532-2696 |
| Full Name | Kooistra Chiropractic Clinic Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2855 Byron Center Ave Sw, Wyoming, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396018446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1496 (Michigan) | Primary |
| Provider Name | Jared L Kooistra |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770640211 PECOS PAC ID: 0749282028 Enrollment ID: I20070215000675 |
| Provider Name | Arnold Mark Koldenhoven |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851444582 PECOS PAC ID: 2769585306 Enrollment ID: I20140211001860 |
| Provider Name | Joshua L Thorp |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1659773299 PECOS PAC ID: 0345569463 Enrollment ID: I20150512001179 |
| Provider Name | Zachary Austin Vanderweide |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063970473 PECOS PAC ID: 9830423177 Enrollment ID: I20190620001612 |
| Provider Name | Kaitlynn Kristine Rosier |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346806288 PECOS PAC ID: 6305170655 Enrollment ID: I20190620002148 |
| Provider Name | Robert Flannigan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1790319465 PECOS PAC ID: 9032521307 Enrollment ID: I20201209003197 |
| Mailing Address | Practice Location Address |
|---|---|
| Kooistra Chiropractic Clinic Pllc 2855 Byron Center Ave Sw, Wyoming, MI 49519-2415 Ph: (616) 532-2518 | Kooistra Chiropractic Clinic Pllc 2855 Byron Center Ave Sw, Wyoming, MI 49519-2415 Ph: (616) 532-2518 |
Danielle Sinclair, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 4020 Del Mar Dr Sw, Ste 100, Wyoming, MI 49418 Phone: 616-214-3111 Fax: 616-730-4052 | |
Dr. John Duwayne Deyo, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1027 Gezon Pkwy Sw, Wyoming, MI 49509 Phone: 616-301-8300 | |
Gillis Family Chiropractic Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 5675 Burlingame Ave., Suite A, Wyoming, MI 49509 Phone: 616-538-2200 Fax: 616-301-0419 | |
Dr. Steven Joseph Griffith, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5570 Wilson Ave Sw Ste Mn, Wyoming, MI 49418 Phone: 616-259-9835 | |
Dr. Mark D. Wolfman, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 4020 Del Mar Dr Sw, Ste 100, Wyoming, MI 49418 Phone: 616-214-3111 | |
Dr. Lisa Konynenbelt, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 5570 Wilson Ave Sw, Ste L, Wyoming, MI 49418 Phone: 616-566-0882 | |
Dr. Zachary Austin Vanderweide, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2855 Byron Center Ave Sw, Wyoming, MI 49519 Phone: 616-532-2518 |