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GRANDVILLE CHIROPRACTIC CLINIC NPI 1972789584


NPI Information

NPI: 1972789584
Provider Name: GRANDVILLE CHIROPRACTIC CLINIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4555 WILSON AVE SW
SUITE 4
GRANDVILLE, MI
ZIP 49418
Phone: (616) 534-7503
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GRANDVILLE CHIROPRACTIC CLINIC is a chiropractor in Grandville, MI. The provider is 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 interrelationship with other body systems. GRANDVILLE CHIROPRACTIC CLINIC NPI is 1972789584. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4555 WILSON AVE SW
SUITE 4
GRANDVILLE, MI
ZIP 49418-370
Phone: (616) 534-7503
Fax: (616) 534-7673

The provider's authorized official is Daniel W Brown .
The authorized official title is Owner and has the following contact phone number (616) 534-7503.

The enumeration date for this NPI number is 1/14/2008 and was last updated on 1/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1T33018MEDICARE UPINMICHIGAN
20P10150MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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