Chiropractic Care Grand Traverse, Pc in Traverse City - Chiropractor
Chiropractic Care Grand Traverse, Pc - NPI 1407019698
Chiropractic Care Grand Traverse, Pc is a Chiropractor in Traverse City, Michigan. Chiropractic Care Grand Traverse, Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Chiropractic Care Grand Traverse, Pc is 1407019698. The last update date is 2008-07-08.
Chiropractic Care Grand Traverse, Pc's current location address is 620 Second St, Traverse City, Michigan. You can contact this provider via phone number 2319220233 and fax number 2319419832. The mailing address for Chiropractic Care Grand Traverse, Pc is 620 Second St, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Chiropractic Care Grand Traverse, Pc |
|---|---|
| Address | 620 Second St, Traverse City, Michigan |
| Phone Number | 2319220233 |
| Fax Number | 2319419832 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Zimmer J Mark |
| Credentials | DC |
| Telephone Number | 2319220233 |
NPI Number Detail
| NPI Number | 1407019698 |
|---|---|
| Provider Enumeration Date | 2008-07-08 |
| Last Updated Date | 2008-07-08 |
Provider Mailing Address Detail
| Address | 620 Second St |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 496842272 |
| Phone Number | 2319220233 |
| Fax Number | 2319419832 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2301005511 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MZ005511 | MI | BLUE CROSS BLUE SHIELD | |
| 144355184 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Chiropractic Care Grand Traverse, Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Chiropractic Care Grand Traverse, Pc has been assigned the NPI (National Provider Identifier) 1407019698. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Chiropractic Care Grand Traverse, Pc is geographically located?
The Chiropractic Care Grand Traverse, Pc is physically situated at the following location: 620 Second St, Traverse City, MI, 496842272.
What is the Chiropractic Care Grand Traverse, Pc's area of specialization and corresponding taxonomy classification?
The Chiropractic Care Grand Traverse, Pc's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
When did Chiropractic Care Grand Traverse, Pc receive its 1407019698 assignment?
The Chiropractic Care Grand Traverse, Pc was assigned its 1407019698 on 2008-07-08, which is the date when this unique identifier was issued to the organization.
When was the information regarding Chiropractic Care Grand Traverse, Pc most recently updated?
The details pertaining to the Chiropractic Care Grand Traverse, Pc, including its address, specialty, and other relevant information, were last refreshed on 2008-07-08.