Organization
OPTIMAL HEALTH CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRIS ALLEN MOORE DC (OWNER)
(616) 447-9972
Entity
Organization
Contact information
Practice address
5242 PLAINFIELD NE AVE, GRAND RAPIDS, MI 49525-1084
(616) 447-9972
(616) 447-4140
Mailing address
5242 PLAINFIELD NE AVE, GRAND RAPIDS, MI 49525-1084
(616) 447-9972
(616) 447-4140
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007742
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4679736
—
MI
Enumeration date
05/21/2008
Last updated
05/21/2008
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