Healthcare Provider Details

I. General information

NPI: 1114532835
Provider Name (Legal Business Name): BEAR CHIROPRACTIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2020
Last Update Date: 08/03/2023
Certification Date: 08/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4270 PLAINFIELD AVE NE # E
GRAND RAPIDS MI
49525-1603
US

IV. Provider business mailing address

4270 PLAINFIELD AVE NE
GRAND RAPIDS MI
49525-1603
US

V. Phone/Fax

Practice location:
  • Phone: 616-228-4189
  • Fax: 616-288-7901
Mailing address:
  • Phone: 616-228-4189
  • Fax: 616-317-7071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: AARON EVAN ZIMMERMAN
Title or Position: OWNER
Credential: DC
Phone: 616-228-4189