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MIKULA CHIROPRACTIC P.C. NPI 1669637229


NPI Information

NPI: 1669637229
Provider Name: MIKULA CHIROPRACTIC, P.C.

Former Legal Business Name: MIKULA CHIROPRACTIC CENTER

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4056 PLAINFIELD AVE NE
SUITE E
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 365-0255
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MIKULA CHIROPRACTIC, P.C. 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. MIKULA CHIROPRACTIC, P.C. NPI is 1669637229. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Mikula Chiropractic Center.

The provider's business location address is:

4056 PLAINFIELD AVE NE
SUITE E
GRAND RAPIDS, MI
ZIP 49525-630
Phone: (616) 365-0255
Fax: (616) 365-0975

The provider's authorized official is Brian Patrick Mikula .
The authorized official title is President and has the following contact phone number (616) 365-0255.

The enumeration date for this NPI number is 7/23/2008 and was last updated on 7/24/2008.


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
1111N00000XChiropractor2301007183MICHIGANYes

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
10M21220MEDICARE PINMICHIGAN
20D17680OTHERMICHIGANBLUE CARE NETWORK
3950D120110OTHERMICHIGANBLUE CROSS/BLUE SHIELD
43269896MEDICAIDMICHIGAN
54443376MEDICAIDMICHIGAN
60D15065OTHERMICHIGANBLUE CARE NETWORK
70M21360MEDICARE PINMICHIGAN
8950D120100OTHERMICHIGANBLUE CROSS/BLUE SHIELD

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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