Dykstra Chiropractic Pc

LBN: Dykstra Chiropractic Pc
Dykstra Chiropractic Pc is an health care organization with primary practice located at 4072 Chicago Dr Sw , Grandville MI 49418-1291. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Dykstra Chiropractic Pc can be contacted via phone (616) 531-6050, or through Vanderwall, Ronda Lynn via phone (616) 531-6050.

Contact Information

Primary practice address
4072 Chicago Dr Sw Grandville MI 49418-1291
Fax: (616) 531-6053
Website:
Authorized official contact:
Name: Vanderwall, Ronda Lynn Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301008861 Michigan
Chiropractic Providers / Chiropractor 111N00000X 2301009329 Michigan
Chiropractic Providers / Chiropractor 111N00000X 2301010292 Michigan

Profile Details

NPI number 1952507626
LBN Legal business name Dykstra Chiropractic Pc
DBA Doing business as
Authorized official Vanderwall, Ronda Lynn Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2007
Last updated May 8th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952507626 NPPES
Michigan MEDICAID 144842737

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