Van Buren Chiropractic Clinic, P.C. in Paw Paw - Chiropractor
Van Buren Chiropractic Clinic, P.C. - NPI 1144234451
Van Buren Chiropractic Clinic, P.C. is a Chiropractor in Paw Paw, Michigan. Van Buren Chiropractic Clinic, P.C. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Van Buren Chiropractic Clinic, P.C. is 1144234451. The last update date is 2020-08-22.
Van Buren Chiropractic Clinic, P.C.'s current location address is 309 S Kalamazoo St, Paw Paw, Michigan. You can contact this provider via phone number 2696577005 and fax number 2696577007. The mailing address for Van Buren Chiropractic Clinic, P.C. is 309 S Kalamazoo St, Paw Paw, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Van Buren Chiropractic Clinic, P.C. |
|---|---|
| Address | 309 S Kalamazoo St, Paw Paw, Michigan |
| Phone Number | 2696577005 |
| Fax Number | 2696577007 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Tattersall Charles Raymond |
| Credentials | D.C. |
| Telephone Number | 2696577005 |
NPI Number Detail
| NPI Number | 1144234451 |
|---|---|
| Provider Enumeration Date | 2006-07-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 309 S Kalamazoo St |
|---|---|
| City | Paw Paw |
| State | Michigan (MI) |
| Post Code | 490791527 |
| Phone Number | 2696577005 |
| Fax Number | 2696577007 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2301004320 |
|
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 |
|---|---|---|---|
| 16123 | MI | MCARE PIN | |
| 44-30051 | MI | IBA/PHP NUMBER | |
| 2301004320 | MI | LICENSE NUMBER | |
| P67311 | MI | BLUE CARE NETWORK PIN | |
| 1935037 | MI | -- | |
| RT004320 | MI | BCBS PIN | |
| 950H05002 | MI | BCBS MICHIGAN |
Post Comment/ Review Below
What is the Van Buren Chiropractic Clinic, P.C.'s unique identification number?
The Van Buren Chiropractic Clinic, P.C. has been assigned the NPI (National Provider Identifier) Number 1144234451 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Van Buren Chiropractic Clinic, P.C. is physically located?
The Van Buren Chiropractic Clinic, P.C. is physically situated at the following address: 309 S Kalamazoo St, Paw Paw, MI, 490791527.
What is the Van Buren Chiropractic Clinic, P.C.'s area of specialization and corresponding taxonomy classification?
The Van Buren Chiropractic Clinic, P.C.'s specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1144234451 to Van Buren Chiropractic Clinic, P.C.?
The Centers for Medicare & Medicaid Services assigned the 1144234451 to Van Buren Chiropractic Clinic, P.C. on 2006-07-29.
As of what date were the details pertaining to Van Buren Chiropractic Clinic, P.C. last refreshed?
The information related to the Van Buren Chiropractic Clinic, P.C., including its address, specialty, and other relevant details, was last updated on 2020-08-22.