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WARNER DE LEEUW IV PC NPI 1376713347


NPI Information

NPI: 1376713347
Provider Name: WARNER DE LEEUW IV, PC

Doing Business As: AMERICAN CHIROPRACTIC CENTER PC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
738 32ND ST SE
GRAND RAPIDS, MI
ZIP 49548
Phone: (616) 243-1444
Get Directions

WARNER DE LEEUW IV, PC is a chiropractor in Grand Rapids, MI. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. WARNER DE LEEUW IV, PC NPI is 1376713347. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As American Chiropractic Center Pc.

The provider's business location address is:

738 32ND ST SE
GRAND RAPIDS, MI
ZIP 49548-329
Phone: (616) 243-1444
Fax: (616) 243-2434

The provider's authorized official is Warner De Leeuw Iv .
The authorized official title is Chiropractor/owner and has the following contact phone number (616) 243-1444.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 12/9/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor2301009355MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10P57110OTHERMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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