Organization
BEACOM FAMILY CHIROPRACTIC PC
Active
Other names
Beacom Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT RICHARD BEACOM DC (PRESIDENT)
(231) 893-1744
Entity
Organization
Contact information
Practice address
923 E COLBY ST, WHITEHALL, MI 49461-1203
(231) 893-1744
(231) 893-6637
Mailing address
923 E COLBY ST, WHITEHALL, MI 49461-1203
(231) 893-1744
(231) 893-6637
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008226
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950F150400
BCBS
—
Enumeration date
09/16/2006
Last updated
08/22/2022
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