Purdy Chiropractic Clinic, P.c. | |
32860 Ryan Rd, Warren, MI 48092-4350 | |
(586) 264-7744 | |
(586) 977-7711 |
Full Name | Purdy Chiropractic Clinic, P.c. |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 32860 Ryan Rd, Warren, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770650368 | NPI | - | NPPES |
1400061 | Medicaid | MI | |
WP004111 | Other | MI | COMMERCIAL |
WP004111 | Other | MI | WORK COMP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2301004111 (Michigan) | Primary |
Provider Name | Nicole J Purdy Cantu |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1548447790 PECOS PAC ID: 4587740105 Enrollment ID: I20080324000512 |
Mailing Address | Practice Location Address |
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Purdy Chiropractic Clinic, P.c. 32860 Ryan Rd, Warren, MI 48092-4350 Ph: (586) 264-7744 | Purdy Chiropractic Clinic, P.c. 32860 Ryan Rd, Warren, MI 48092-4350 Ph: (586) 264-7744 |
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