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NPI Code Detail

MEDICARE: DR. JENNIFER M CULP DC

MEDICARE:  DR. JENNIFER M CULP  DC
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
1111N00000XChiropractor2301007494MI

General Provider Information

NPI Number : 1962456350
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER M CULP DC
Provider Business Mailing Address
First Line : 9751 E GRAND RIVER AVE STE 2
Second Line :
City : PORTLAND
State : MI
Zip : 48875-9774
Country : US
Telephone Number : 517-994-6007
Fax Number : 517-949-6009
Provider Business Practice Location Address
First Line : 9751 E GRAND RIVER AVE STE 2
Second Line :
City : PORTLAND
State : MI
Zip : 48875-9774
Country : US
Telephone Number : 517-994-6007
Fax Number : 517-994-6009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 05/11/2022

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Directions to “ DR. JENNIFER M CULP DC” Practice Location

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