Dykstra Chiropractic Pc in Grandville - Chiropractor
Dykstra Chiropractic Pc - NPI 1952507626
Dykstra Chiropractic Pc is a Chiropractor in Grandville, Michigan. Dykstra Chiropractic Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Dykstra Chiropractic Pc is 1952507626. The last update date is 2017-05-08.
Dykstra Chiropractic Pc's current location address is 4072 Chicago Dr Sw, Grandville, Michigan. You can contact this provider via phone number 6165316050 and fax number 6165316053. The mailing address for Dykstra Chiropractic Pc is 4072 Chicago Dr Sw, Grandville, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Dykstra Chiropractic Pc |
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Address | 4072 Chicago Dr Sw, Grandville, Michigan |
Phone Number | 6165316050 |
Fax Number | 6165316053 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DOCTOR OF |
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Authorized Official Name | Vanderwall Lynn Ronda |
Credentials | DC |
Telephone Number | 6165316050 |
NPI Number Detail
NPI Number | 1952507626 |
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Provider Enumeration Date | 2007-06-21 |
Last Updated Date | 2017-05-08 |
Provider Mailing Address Detail
Address | 4072 Chicago Dr Sw |
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City | Grandville |
State | Michigan (MI) |
Post Code | 494181291 |
Phone Number | 6165316050 |
Fax Number | 6165316053 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 2301008861 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
144842737 | MI | -- |
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What is the Dykstra Chiropractic Pc's 1952507626?
The Dykstra Chiropractic Pc's NPI (National Provider Identifier) Number is 1952507626. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Dykstra Chiropractic Pc?
The Dykstra Chiropractic Pc is physically situated at 4072 Chicago Dr Sw, in the city of Grandville, state of MI, with the postal code 494181291.
What is the Dykstra Chiropractic Pc's specialty and taxonomy code?
The Dykstra Chiropractic Pc's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
When did Dykstra Chiropractic Pc receive its 1952507626 assignment?
The Dykstra Chiropractic Pc was assigned its 1952507626 on 2007-06-21, which is the date when this unique identifier was issued to the organization.
When was the information regarding Dykstra Chiropractic Pc most recently updated?
The details pertaining to the Dykstra Chiropractic Pc, including its address, specialty, and other relevant information, were last refreshed on 2017-05-08.