Wilcox-Degraaf, Kelli Anne

Wilcox-Degraaf, Kelli Anne is an sole proprietor health care provider with primary practice located at 5900 Alpine Ave Nw , Comstock Park MI 49321-9717. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Wilcox-Degraaf, Kelli Anne can be contacted via phone (616) 784-5433.

Contact Information

Primary practice address
5900 Alpine Ave Nw Comstock Park MI 49321-9717
Phone: (616) 784-5433
Fax: (616) 784-3577
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301009030 Michigan

Profile Details

NPI number 1104934496
LBN Legal business name Wilcox-Degraaf, Kelli Anne
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2006
Last updated Aug 15th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104934496 NPPES
Michigan Other 0D11549 BLUE CROSS BLUE SHIELD OF MICHIGAN

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