Healthcare Provider Details

I. General information

NPI: 1679892053
Provider Name (Legal Business Name): VU FAMILY CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2010
Last Update Date: 04/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5102 BYRON CENTER AVE SW SUITE B
WYOMING MI
49519-4851
US

IV. Provider business mailing address

5102 BYRON CENTER AVE SW SUITE B
WYOMING MI
49519-4851
US

V. Phone/Fax

Practice location:
  • Phone: 616-238-8888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number2301009512
License Number StateMI

VIII. Authorized Official

Name: DR. NAM VU
Title or Position: OWNER
Credential: DC
Phone: 616-893-7525