Mattawan Chiropractic Clinic, P.C. in Mattawan - Chiropractor

Mattawan Chiropractic Clinic, P.C. - NPI 1871698340

Mattawan Chiropractic Clinic, P.C. is a Chiropractor in Mattawan, Michigan. Mattawan Chiropractic Clinic, P.C. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mattawan Chiropractic Clinic, P.C. is 1871698340. The last update date is 2020-08-22.

Mattawan Chiropractic Clinic, P.C.'s current location address is 55475 N Main St, Mattawan, Michigan. You can contact this provider via phone number 2696684521 and fax number 2696684522. The mailing address for Mattawan Chiropractic Clinic, P.C. is 55475 N Main St, Mattawan, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mattawan Chiropractic Clinic, P.C.
Address 55475 N Main St, Mattawan, Michigan
Phone Number 2696684521
Fax Number 2696684522
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Ranger-Dean Kayla
Credentials D.C.
Telephone Number 2696684521

NPI Number Detail

NPI Number 1871698340
Provider Enumeration Date 2006-09-13
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 55475 N Main St
City Mattawan
State Michigan (MI)
Post Code 490718304
Phone Number 2696684521
Fax Number 2696684522

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No KR005892
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
2892570 MI --
4051784 IL BCBS OF IL
950H05015 MI BCBS OF MI
44-30154 MI IBA-UNITED HEALTH CARE

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FAQs about Mattawan Chiropractic Clinic, P.C.

What is the unique provider identifier assigned to Mattawan Chiropractic Clinic, P.C.?

The Mattawan Chiropractic Clinic, P.C. has been issued the NPI (National Provider Identifier) 1871698340 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Mattawan Chiropractic Clinic, P.C.?

The Mattawan Chiropractic Clinic, P.C. is situated at 55475 N Main St, in the city of Mattawan, state of MI, with the zip code 490718304.

What is the area of specialization for Mattawan Chiropractic Clinic, P.C., and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mattawan Chiropractic Clinic, P.C. is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.

When did the Mattawan Chiropractic Clinic, P.C. receive its 1871698340?

The Mattawan Chiropractic Clinic, P.C. was issued its 1871698340 on 2006-09-13, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Mattawan Chiropractic Clinic, P.C. last refreshed?

The information related to the Mattawan Chiropractic Clinic, P.C., including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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