Charles Scott Kooistra in Wyoming - Chiropractor
Charles Scott Kooistra - NPI 1417943036
Charles Scott Kooistra is a Chiropractor in Wyoming, Michigan. Charles Scott Kooistra practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Charles Scott Kooistra is 1417943036. The last update date is 2017-02-03.
Charles Scott Kooistra's current location address is 2855 Byron Center Ave Sw, Wyoming, Michigan. You can contact this provider via phone number 6165322518 and fax number 6165322696. The mailing address for Charles Scott Kooistra is 2855 Byron Center Ave Sw, Wyoming, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Scott Kooistra |
|---|---|
| Address | 2855 Byron Center Ave Sw, Wyoming, Michigan |
| Phone Number | 6165322518 |
| Fax Number | 6165322696 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1417943036 |
|---|---|
| Provider Enumeration Date | 2005-09-20 |
| Last Updated Date | 2017-02-03 |
Provider Mailing Address Detail
| Address | 2855 Byron Center Ave Sw |
|---|---|
| City | Wyoming |
| State | Michigan (MI) |
| Post Code | 495192415 |
| Phone Number | 6165322518 |
| Fax Number | 6165322696 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CK002664 |
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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 |
|---|---|---|---|
| 950D150810 | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Charles Scott Kooistra by the Centers for Medicare & Medicaid Services?
The Charles Scott Kooistra has been assigned the NPI (National Provider Identifier) 1417943036 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Charles Scott Kooistra is located?
The Charles Scott Kooistra is situated at the following address: 2855 Byron Center Ave Sw, Wyoming, MI, 495192415.
What is Charles Scott Kooistra's area of expertise and its corresponding taxonomy classification?
The Charles Scott Kooistra's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Charles Scott Kooistra receive its 1417943036 assignment from the Centers for Medicare & Medicaid Services?
The Charles Scott Kooistra was assigned its 1417943036 on 2005-09-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Charles Scott Kooistra, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Charles Scott Kooistra, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-02-03.