Tilton Chiropractic Pc | |
1593 Galbraith Se, Suite 205, Grand Rapids, MI 49546-7140 | |
(616) 949-1888 | |
(616) 949-9602 |
Full Name | Tilton Chiropractic Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 1593 Galbraith 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 |
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1053626499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 2301008127 (Michigan) | Primary |
Provider Name | Trent Michael Tilton |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1295879427 PECOS PAC ID: 8729058227 Enrollment ID: I20040730000860 |
Provider Name | Katherine N Tilton |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1891249553 PECOS PAC ID: 9638450570 Enrollment ID: I20170106001792 |
Mailing Address | Practice Location Address |
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Tilton Chiropractic Pc 1593 Galbraith Se, Suite 205, Grand Rapids, MI 49546-7140 Ph: (616) 949-1888 | Tilton Chiropractic Pc 1593 Galbraith Se, Suite 205, Grand Rapids, MI 49546-7140 Ph: (616) 949-1888 |
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