Leedle Chiropractic Clinic P C | |
11460 Highland Rd Hartland MI 48353-2736 | |
(810) 632-7700 | |
(810) 632-9770 |
Full Name | Leedle Chiropractic Clinic P C |
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Speciality | Clinic/Center |
Location | 11460 Highland Rd, Hartland, Michigan |
Authorized Official Name and Position | James D. Leedle (PRESIDENT) |
Authorized Official Contact | 8106327700 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Leedle Chiropractic Clinic P C 11460 Highland Rd Hartland MI 48353-2736 Ph: (810) 632-7700 | Leedle Chiropractic Clinic P C 11460 Highland Rd Hartland MI 48353-2736 Ph: (810) 632-7700 |
NPI Number | 1619177078 |
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Provider Enumeration Date | 07/23/2007 |
Last Update Date | 07/23/2007 |
Medicare PECOS PAC ID | 0749371953 |
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Medicare Enrollment ID | O20070802000085 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619177078 | NPI | - | NPPES |
123473 | Other | MI | CARE CHOICES ID # |
123473 | Other | MI | PREFERRED CHOICES ID # |
T33187 | Other | MI | BC BS UPIN |
290825 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 095579 (Michigan) | Primary |
Provider Name | James D Leedle |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1841299179 PECOS PAC ID: 8921199126 Enrollment ID: I20070802000068 |
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