Organization
SPINE ALIGN PRODUCTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM BUIS (OPERATIONS MANAGER)
(616) 395-5407
Entity
Organization
Contact information
Practice address
741 CHICAGO DR, HOLLAND, MI 49423-3003
(616) 395-5407
Mailing address
741 CHICAGO DR, HOLLAND, MI 49423-3003
(616) 395-5407
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
333300000X
Emergency Response System Companies
—
—
Other
Enumeration date
07/14/2016
Last updated
07/14/2016
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