Aamodt, Wayne Garth
Aamodt, Wayne Garth is an individual health care provider with primary practice located at 1805 44Th St Se , Grand Rapids MI 49508-5005. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Aamodt, Wayne Garth can be contacted via phone (616) 455-4200.Contact Information
Primary practice address
1805 44Th St Se
Grand Rapids MI 49508-5005
Phone: (616) 455-4200
Fax: (616) 455-4201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2301004756 | Michigan |
Profile Details
| NPI number | 1710975370 |
|---|---|
| LBN Legal business name | Aamodt, Wayne Garth |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710975370 | NPPES |
| Michigan | Other | 10888236 | CAQH |
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