Individual
JAMES M. ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1553 ALPINE AVE NW, GRAND RAPIDS, MI 49504-3169
(616) 364-9485
(616) 364-9486
Mailing address
1553 ALPINE AVE NW, GRAND RAPIDS, MI 49504-3169
(616) 364-9485
(616) 364-9486
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004345
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D15104
BCBS
MI
05
—
2118430/14
—
MI
Enumeration date
10/25/2006
Last updated
03/24/2008
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