Individual
LARRY DALLAS NAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
220 C STREET, TRUFANT, MI 49347-0157
(616) 984-5200
(616) 984-5293
Mailing address
PO BOX 157, TRUFANT, MI 49347-0157
(616) 984-5200
(616) 984-5293
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
LN007256
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E95011
BLUE CROSS
MI
01
—
950E950110
BCBSM PIN
—
Enumeration date
08/09/2006
Last updated
10/25/2011
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