Organization
HEALTHY FAMILY CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN HOWARD VAHUE-RUBIN D.C. (PRESIDENT)
(269) 567-4111
Entity
Organization
Contact information
Practice address
4415 DUKE ST, SUITE #2 EAST, KALAMAZOO, MI 49008-3224
(269) 567-4111
(269) 567-4113
Mailing address
4415 DUKE ST, SUITE #2 EAST, KALAMAZOO, MI 49008-3224
(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 NUMBER
MI
01
—
1114052115
DR.'S INDIVIDUAL NPI
MI
01
—
1629103528
DR.'S GROUP NPI
MI
01
—
950C91206
BLUE CROSS BLUE SHIELD PIN NUMBER
—
01
—
P2900001
MEDICARE PTAN
MI
Enumeration date
02/22/2007
Last updated
12/12/2013
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