Byma Chiropractic, P.c. | |
925 W Washington St Ste 107 Marquette MI 49855-4061 | |
(906) 227-0100 | |
(906) 227-0200 |
Full Name | Byma Chiropractic, P.c. |
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Speciality | Clinic/Center |
Location | 925 W Washington St, Marquette, Michigan |
Authorized Official Name and Position | Randall John Byma (OWNER/CHIROPRACTOR) |
Authorized Official Contact | 9062270100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Byma Chiropractic, P.c. 925 W Washington St Ste 107 Marquette MI 49855-4061 Ph: (906) 227-0100 | Byma Chiropractic, P.c. 925 W Washington St Ste 107 Marquette MI 49855-4061 Ph: (906) 227-0100 |
NPI Number | 1336304492 |
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Provider Enumeration Date | 07/28/2008 |
Last Update Date | 08/18/2008 |
Medicare PECOS PAC ID | 5193890341 |
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Medicare Enrollment ID | O20080822000058 |
Identifier | Type | State | Issuer |
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1336304492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 2301008366 (Michigan) | Primary |
Provider Name | Randall J Byma |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1518992619 PECOS PAC ID: 2567537715 Enrollment ID: I20080822000055 |
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