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CONN CHIROPRACTIC CLINIC PLLC NPI 1407382963


NPI Information

NPI: 1407382963
Provider Name: CONN CHIROPRACTIC CLINIC, PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3097 29TH ST SE
GRAND RAPIDS, MI
ZIP 49512
Phone: (616) 855-0510
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CONN CHIROPRACTIC CLINIC, PLLC 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. CONN CHIROPRACTIC CLINIC, PLLC NPI is 1407382963. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3097 29TH ST SE
GRAND RAPIDS, MI
ZIP 49512-726
Phone: (616) 855-0510
Fax: (855) 710-7034

The provider's authorized official is Kyle Adam Conn .
The authorized official title is Chiropractor and has the following contact phone number (616) 855-0510.

The enumeration date for this NPI number is 5/3/2017 and was last updated on 5/3/2017.


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
1111N00000XChiropractor2301010529MICHIGANYes

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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