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NPI Code Detail

MEDICARE: PAW PAW CHIROPRACTIC CLINIC

MEDICARE: PAW PAW CHIROPRACTIC CLINIC
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
1111N00000XChiropractor2301006100MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174790059
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAW PAW CHIROPRACTIC CLINIC
Provider Business Mailing Address
First Line : PO BOX 621
Second Line :
City : HARTFORD
State : MI
Zip : 49057-0621
Country : US
Telephone Number : 269-621-3800
Fax Number : 269-621-2556
Provider Business Practice Location Address
First Line : 38044 W RED ARROW HWY
Second Line :
City : PAW PAW
State : MI
Zip : 49079-9384
Country : US
Telephone Number : 269-657-4200
Fax Number : 269-621-2556
Authorized Official
Title or Position : OWNER/CHIROPRACTOR
Name : DR. AHAD E LOTFI
Credential : D.C.
Telephone Number : 269-657-4200
Provider Enumeration Date : 05/10/2008
Last Update Date : 05/10/2008

Similar Medicare Providers

1184647240 — DR. KARL JAMES KRAPF DC
Practice Location Address:
38044 W RED ARROW HWY
PAW PAW, MI
49079-9384
Practice Phone: 269-657-4200
Practice Fax: 269-657-4222
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Practice Location Address:
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Practice Fax: 269-657-1779
1508724022 — JESSE FOREMAN
Practice Location Address:
451 HEALTH PKWY
PAW PAW, MI
49079-8242
Practice Phone: 269-657-1490
Practice Fax:
1033115183 — PAMELA NELSON M.D.
Practice Location Address:
451 HEALTH PKWY , SUITE B
PAW PAW, MI
49079-8242
Practice Phone: 269-655-3065
Practice Fax: 269-655-0588
1861492423 — LYNNE MARIE LOUNSBURY CNP
Practice Location Address:
451 HEALTH PKWY , SUITE B
PAW PAW, MI
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1437159597 — NADEEM M MIRZA MD
Practice Location Address:
404 HAZEN ST , SUITE 104
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49079-1040
Practice Phone: 269-657-1595
Practice Fax: 269-657-1534

Directions to “PAW PAW CHIROPRACTIC CLINIC ” Practice Location

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