Organization
OTTAWA CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIE HEERSPINK (CHIROPRACTIC ASSISTANT)
(616) 399-3563
Entity
Organization
Contact information
Practice address
184 JAMES ST, HOLLAND, MI 49424-2981
(616) 399-3563
Mailing address
184 JAMES ST, HOLLAND, MI 49424-2981
(616) 399-3563
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
KS002756
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4787920
—
MI
Enumeration date
12/01/2006
Last updated
03/25/2013
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