MEDICARE: BACK TO HEALTH CHIROPRACTIC - MUSKEGON, 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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1831696475
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BACK TO HEALTH CHIROPRACTIC - MUSKEGON, P.C.

Provider Business Mailing Address
First Line	:	10990 CHICAGO DR
Second Line	:
City	:	ZEELAND
State	:	MI
Zip	:	49464-8100
Country	:	US
Telephone Number	:	616-546-3500
Fax Number	:	616-546-3501

Provider Business Practice Location Address
First Line	:	1125 E SHERMAN BLVD
Second Line	:
City	:	NORTON SHORES
State	:	MI
Zip	:	49444-1809
Country	:	US
Telephone Number	:	231-830-1111
Fax Number	:	231-830-1113

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. TONYA A WESTERBEKE
Credential	:	DC
Telephone Number	:	616-564-3500

Provider Enumeration Date	:	04/10/2018
Last Update Date	:	08/22/2024

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