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NPI Code Detail

MEDICARE: GEORGETOWN CHIROPRACTIC

MEDICARE: GEORGETOWN CHIROPRACTIC
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

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10G05036OTHERMIMEDICARE PLUS BLUE
2DG7550OTHERMIRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3959G01031OTHERMIBC ID NUMBER

General Provider Information

NPI Number : 1710016944
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEORGETOWN CHIROPRACTIC
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 : PARTNER
Name : DR. LEONARD H NIENHUIS
Credential : D.C.
Telephone Number : 616-457-4511
Provider Enumeration Date : 03/05/2007
Last Update Date : 04/09/2008

Similar Medicare Providers

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Practice Location Address:
7579 MAIN ST
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49428-9251
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1437133865 — DR. LEONARD HARRY NIENHUIS DC
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1740373836 — DR. DONALD ALAN STEKETEE DC
Practice Location Address:
7579 MAIN ST
JENISON, MI
49428-9251
Practice Phone: 616-662-4990
Practice Fax:
1619006863 — LEONARD H. NIENHUIS D.C. P.C.
Practice Location Address:
7579 MAIN ST
JENISON, MI
49428-9251
Practice Phone: 616-457-4511
Practice Fax: 616-667-1936
1508149451 — DR. BENJAMIN JON STEKETEE D.C.
Practice Location Address:
7579 MAIN ST
JENISON, MI
49428-9251
Practice Phone: 616-662-4990
Practice Fax:
1750642997 — CRAIG S ROCKWELL DC PLLC
Practice Location Address:
7579 MAIN ST
JENISON, MI
49428-9251
Practice Phone: 616-457-4511
Practice Fax: 616-667-1936

Directions to “GEORGETOWN CHIROPRACTIC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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