| Maxliving Chiropractic 0168 | |
|
5150 Northland Dr Ne Ste B, Grand Rapids, MI 49525-1081 | |
| (616) 314-7616 | |
| Not Available |
| Full Name | Maxliving Chiropractic 0168 |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 5150 Northland Dr Ne Ste B, 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 |
|---|---|---|---|
| 1295431302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Alicia Ashton-mayer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578269676 PECOS PAC ID: 4082072046 Enrollment ID: I20230622003534 |
| Mailing Address | Practice Location Address |
|---|---|
| Maxliving Chiropractic 0168 5150 Northland Dr Ne Ste B, Grand Rapids, MI 49525-1081 Ph: (616) 314-7616 | Maxliving Chiropractic 0168 5150 Northland Dr Ne Ste B, Grand Rapids, MI 49525-1081 Ph: (616) 314-7616 |
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