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VAN DYKE SPINAL REHABILITATION NPI 1528114592


NPI Information

NPI: 1528114592
Provider Name: VAN DYKE SPINAL REHABILITATION
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
22860 VAN DYKE AVE
WARREN, MI
ZIP 48089
Phone: (586) 754-4690
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VAN DYKE SPINAL REHABILITATION is a chiropractor in Warren, 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. VAN DYKE SPINAL REHABILITATION NPI is 1528114592. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22860 VAN DYKE AVE
WARREN, MI
ZIP 48089-347
Phone: (586) 754-4690
Fax: (586) 754-4680

The provider's authorized official is Michael S Meeron .
The authorized official title is Chiropractor (owner) and has the following contact phone number (586) 754-4690.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 12/3/2010.


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
1111N00000XChiropractor2301005397MICHIGANYes

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
1950E017740OTHERMICHIGANBCBS PROVIDER NUMBER
2MM--5397MEDICARE UPINMICHIGAN
30P26620MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

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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