The Chiropractic Doctors Pllc | |
5747 28th Street Se, Suite 101, Grand Rapids, MI 49549-4800 | |
(616) 432-3103 | |
(616) 328-6364 |
Full Name | The Chiropractic Doctors Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 5747 28th Street Se, 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 |
---|---|---|---|
1265788509 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2301009924 (Michigan) | Primary |
Provider Name | Matthew S Phinney |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1538457890 PECOS PAC ID: 1254591472 Enrollment ID: I20120327000158 |
Mailing Address | Practice Location Address |
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The Chiropractic Doctors Pllc 5747 28th Street Se, Suite 101, Grand Rapids, MI 49549-4800 Ph: (616) 432-3103 | The Chiropractic Doctors Pllc 5747 28th Street Se, Suite 101, Grand Rapids, MI 49549-4800 Ph: (616) 432-3103 |
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