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Individual

DR. JONATHAN HOWARD VAHUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3234 S WESTNEDGE AVE, KALAMAZOO, MI 49008-2903
(269) 567-4111
(269) 567-4113
Mailing address
3234 S WESTNEDGE AVE, KALAMAZOO, MI 49008-2903
(269) 567-4111
(269) 567-4113

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007884
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0P02900
MEDICARE GROUP PIN
MI
01
1114052115
INDIVIDUAL NPI
MI
01
1629103528
GROUP NPI
MI
01
950C91206
BLUE CROSS BLUE SHIELD PIN
MI
01
P2900001
MEDICARE PTAN
MI
Enumeration date
02/22/2007
Last updated
09/08/2018
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