| Novo Chiropractic Pllc | |
|
5570 Wilson Ave Sw, Ste L, Wyoming, MI 49418-8867 | |
| (616) 259-9835 | |
| Not Available |
| Full Name | Novo Chiropractic Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 5570 Wilson 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 |
|---|---|---|---|
| 1417328659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2301010372 (Michigan) | Primary |
| 111N00000X | Chiropractor | 2301010340 (Michigan) | Secondary |
| Provider Name | Lisa M Konynenbelt |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053781856 PECOS PAC ID: 5698058527 Enrollment ID: I20170125000202 |
| Provider Name | Joshua P Konynenbelt |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710357504 PECOS PAC ID: 8224311154 Enrollment ID: I20170130001099 |
| Provider Name | Eric J Wink |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750851754 PECOS PAC ID: 9436495405 Enrollment ID: I20190111001320 |
| Provider Name | Colleen M Kill |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1578024485 PECOS PAC ID: 8426384405 Enrollment ID: I20190729003302 |
| Provider Name | Christina F Violante |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881029643 PECOS PAC ID: 2466872155 Enrollment ID: I20201019002197 |
| Provider Name | Kacy A Hersha |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346840238 PECOS PAC ID: 4880006584 Enrollment ID: I20201222002986 |
| Provider Name | Bailey Brogan |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265008080 PECOS PAC ID: 6901208701 Enrollment ID: I20210716000470 |
| Provider Name | Derek D Munson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992373179 PECOS PAC ID: 2961808290 Enrollment ID: I20210910002022 |
| Provider Name | Monish P Patel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205502127 PECOS PAC ID: 5698173904 Enrollment ID: I20211016000032 |
| Provider Name | Trey A Schuler |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093462053 PECOS PAC ID: 1850786948 Enrollment ID: I20220329000452 |
| Provider Name | Jacolyn J Mullins |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679220511 PECOS PAC ID: 0840685939 Enrollment ID: I20220329000486 |
| Provider Name | Hailey Catherine Watkins |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558062521 PECOS PAC ID: 8123483963 Enrollment ID: I20230428002606 |
| Provider Name | Bradley Philip Walling |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194414029 PECOS PAC ID: 5597129437 Enrollment ID: I20230912001059 |
| Provider Name | Izabel Vandermolen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1073385159 PECOS PAC ID: 1557719861 Enrollment ID: I20231128000660 |
| Mailing Address | Practice Location Address |
|---|---|
| Novo Chiropractic Pllc 5570 Wilson Ave Sw, Ste L, Wyoming, MI 49418-8867 Ph: (616) 259-9835 | Novo Chiropractic Pllc 5570 Wilson Ave Sw, Ste L, Wyoming, MI 49418-8867 Ph: (616) 259-9835 |
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 |