Pure Motion Chiropractic Pllc | |
109 S Lincoln Ave, Niles, MI 49120-2917 | |
(269) 684-7822 | |
(269) 684-7088 |
Full Name | Pure Motion Chiropractic Pllc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 109 S Lincoln Ave, Niles, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538803564 | NPI | - | NPPES |
2301010933 | Other | MI | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Samantha Marie Gerard |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1821624552 PECOS PAC ID: 5294164901 Enrollment ID: I20200401000604 |
Mailing Address | Practice Location Address |
---|---|
Pure Motion Chiropractic Pllc 109 S Lincoln Ave, Niles, MI 49120-2917 Ph: (269) 684-7822 | Pure Motion Chiropractic Pllc 109 S Lincoln Ave, Niles, MI 49120-2917 Ph: (269) 684-7822 |
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