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4056 Plainfield Ave Ne, Suite E, Grand Rapids, MI 49525-1630 | |
| (616) 365-0255 | |
| (616) 365-0975 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4056 Plainfield Ave Ne, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770729097 | NPI | - | NPPES |
| P61830001 | Other | MI | MEDICARE PROVIDER ENROLLMENT PTAN |
| 14443376 | Medicaid | MI | |
| 950D120100 | Other | MI | BLUE CROSS/BLUE SHIELD |
| OD15062753 | Other | MI | BLUE CARE NETWORK |
| 13269896 | Medicaid | MI | |
| 950D120110 | Other | MI | BLUE CROSS/BLUE SHIELD |
| 0D15065 | Other | MI | BLUE CARE NETWORK |
| 0D115053 | Other | MI | BLUE CARE NETWORK |
| P61830002 | Other | MI | MEDICARE PROVIDER ENROLLMENT PTAN |
| 0P61830 | Other | MI | MEDICARE PROVIDER ENROLLMENT PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2301007183 (Michigan) | Primary |
| 111N00000X | Chiropractor | 2301007184 (Michigan) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
4056 Plainfield Ave Ne, Suite E, Grand Rapids, MI 49525-1630 Ph: (616) 365-0255 | 4056 Plainfield Ave Ne, Suite E, Grand Rapids, MI 49525-1630 Ph: (616) 365-0255 |
Dr. Ryan Klier, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4150 E Beltline Ave Ne, Suite #3, Grand Rapids, MI 49525 Phone: 616-447-9888 Fax: 616-447-9886 | |
Hz Chiro Gr Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5020 E Beltline Ave Ne, Grand Rapids, MI 49525 Phone: 616-364-4448 | |
Innate Health Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6735 Cascade Rd Se, Suite 200, Grand Rapids, MI 49546 Phone: 616-295-5699 | |
Amber Krusniak, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5150 Northland Dr Ne Ste B, Grand Rapids, MI 49525 Phone: 616-314-7616 | |
Lambert Chiropractic Clinic Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 5300 Northland Dr, Grand Rapids, MI 49525 Phone: 616-361-7810 Fax: 616-361-0036 | |
Dr. Alexander Le Bon, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2757 Leonard St Ne Ste 200, Grand Rapids, MI 49525 Phone: 616-458-8063 |