Advantage Chiropractic Pc in Grand Rapids - Chiropractor
Advantage Chiropractic Pc - NPI 1275702383
Advantage Chiropractic Pc is a Chiropractor in Grand Rapids, Michigan. Advantage Chiropractic Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Advantage Chiropractic Pc is 1275702383. The last update date is 2008-02-22.
Advantage Chiropractic Pc's current location address is 1100 4 Mile Rd Nw, Grand Rapids, Michigan. You can contact this provider via phone number 6163012225. The mailing address for Advantage Chiropractic Pc is 1100 4 Mile Rd Nw, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Advantage Chiropractic Pc |
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Address | 1100 4 Mile Rd Nw, Grand Rapids, Michigan |
Phone Number | 6163012225 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Dettwiler David Jason |
Credentials | D.C. |
Telephone Number | 6163012225 |
NPI Number Detail
NPI Number | 1275702383 |
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Provider Enumeration Date | 2008-02-22 |
Last Updated Date | 2008-02-22 |
Provider Mailing Address Detail
Address | 1100 4 Mile Rd Nw |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495447397 |
Phone Number | 6163012225 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 2301009340 |
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique identification code assigned to Advantage Chiropractic Pc by the Centers for Medicare & Medicaid Services?
The Advantage Chiropractic Pc has been issued the NPI (National Provider Identifier) 1275702383. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Advantage Chiropractic Pc's facilities are geographically located?
The facilities of Advantage Chiropractic Pc are physically situated at the following location: 1100 4 Mile Rd Nw, Grand Rapids, MI, 495447397.
What is the Advantage Chiropractic Pc's specialty and taxonomy code?
The Advantage Chiropractic Pc's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Advantage Chiropractic Pc receive its 1275702383 assignment from the Centers for Medicare & Medicaid Services?
The Advantage Chiropractic Pc was assigned its 1275702383 by the Centers for Medicare & Medicaid Services on 2008-02-22.
As of what date were the details pertaining to Advantage Chiropractic Pc last refreshed?
The information related to the Advantage Chiropractic Pc, including its address, specialty, and other relevant details, was last updated on 2008-02-22.