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NPI Code Detail

MEDICARE: PIERCE CHIROPRACTIC WELLNESS CENTER, PLC

MEDICARE: PIERCE CHIROPRACTIC WELLNESS CENTER, PLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2301005317MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111285926OTHERMICAQH
2950D117110OTHERMIBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023348752
Entity Type Code : Organization
Provider Name (Legal Business Name) : PIERCE CHIROPRACTIC WELLNESS CENTER, PLC
Provider Business Mailing Address
First Line : 1394 DAIRY LN NE
Second Line :
City : CEDAR SPRINGS
State : MI
Zip : 49319-8131
Country : US
Telephone Number : 616-696-6144
Fax Number : 616-696-6144
Provider Business Practice Location Address
First Line : 1394 DAIRY LN NE
Second Line :
City : CEDAR SPRINGS
State : MI
Zip : 49319-8131
Country : US
Telephone Number : 616-696-6144
Fax Number : 616-696-6144
Authorized Official
Title or Position : PRESIDENT
Name : DR. DOUGLAS EARL PIERCE
Credential : D.C.
Telephone Number : 616-696-6144
Provider Enumeration Date : 12/31/2009
Last Update Date : 01/13/2010

Similar Medicare Providers

1407826555 — DR. DOUGLAS EARL PIERCE D. C.
Practice Location Address:
1394 DAIRY LN NE
CEDAR SPRINGS, MI
49319-8131
Practice Phone: 616-696-6144
Practice Fax: 616-696-6144
1609473404 — SOLENA MARIE GIBSON LISW-S
Practice Location Address:
27070 CEDAR RD
BEACHWOOD, OH
44122-8131
Practice Phone: 216-831-2881
Practice Fax:
1801476866 — TAVEION TINSLEY
Practice Location Address:
27070 CEDAR RD
BEACHWOOD, OH
44122-8131
Practice Phone: 216-303-4794
Practice Fax:
1184293276 — ANOTHER CHANCE 2 LIVING HEALTHCARE
Practice Location Address:
27070 CEDAR RD
BEACHWOOD, OH
44122-8131
Practice Phone: 216-820-8986
Practice Fax:
1386471100 — THE HEBREW HOME AT BEACHWOOD LLC
Practice Location Address:
27070 CEDAR RD
BEACHWOOD, OH
44122-8131
Practice Phone: 216-831-2881
Practice Fax:
1629910567 — DANIEL & MAX, LLC
Practice Location Address:
3700 17 MILE RD NE
CEDAR SPRINGS, MI
49319-7974
Practice Phone: 616-696-2965
Practice Fax: 616-696-2975

Directions to “PIERCE CHIROPRACTIC WELLNESS CENTER, PLC ” Practice Location

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