Jason David Dettwiler in Grand Rapids - Chiropractor
Jason David Dettwiler - NPI 1912199910
Jason David Dettwiler is a Chiropractor in Grand Rapids, Michigan. Jason David Dettwiler practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jason David Dettwiler is 1912199910. The last update date is 2007-08-14.
Jason David Dettwiler's current location address is 1100 4 Mile Rd Nw, Grand Rapids, Michigan. You can contact this provider via phone number 6163012225 and fax number 6167194593. The mailing address for Jason David Dettwiler is 1100 4 Mile Rd Nw, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason David Dettwiler |
|---|---|
| Address | 1100 4 Mile Rd Nw, Grand Rapids, Michigan |
| Phone Number | 6163012225 |
| Fax Number | 6167194593 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1912199910 |
|---|---|
| Provider Enumeration Date | 2007-08-14 |
| Last Updated Date | 2007-08-14 |
Provider Mailing Address Detail
| Address | 1100 4 Mile Rd Nw |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495447397 |
| Phone Number | 6163012225 |
| Fax Number | 6167194593 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2301009340 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jason David Dettwiler by the Centers for Medicare & Medicaid Services?
The Jason David Dettwiler has been issued the NPI (National Provider Identifier) 1912199910 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Jason David Dettwiler is physically located?
The Jason David Dettwiler is situated at the following address: 1100 4 Mile Rd Nw, Grand Rapids, MI 495447397.
What is Jason David Dettwiler's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jason David Dettwiler is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
When did the Jason David Dettwiler receive its 1912199910?
The Jason David Dettwiler was issued its 1912199910 on 2007-08-14, which is the date when the organization was assigned this unique identifier.
When was the Jason David Dettwiler's information last updated?
The Jason David Dettwiler's information was last updated on 2007-08-14.