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NPI Code Detail

MEDICARE: LEONARD H. NIENHUIS D.C. P.C.

MEDICARE: LEONARD H. NIENHUIS D.C. P.C.
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1619006863
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEONARD H. NIENHUIS D.C. P.C.
Provider Business Mailing Address
First Line : 7579 MAIN ST
Second Line :
City : JENISON
State : MI
Zip : 49428-9251
Country : US
Telephone Number : 616-457-4511
Fax Number : 616-667-1936
Provider Business Practice Location Address
First Line : 7579 MAIN ST
Second Line :
City : JENISON
State : MI
Zip : 49428-9251
Country : US
Telephone Number : 616-457-4511
Fax Number : 616-667-1936
Authorized Official
Title or Position : PRESIDENT
Name : DR. LEONARD H NIENHUIS
Credential : D.C.
Telephone Number : 616-457-4511
Provider Enumeration Date : 03/05/2007
Last Update Date : 04/10/2008

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