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Organization

BIG VISION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRAD ALLEN DOUBLE DC (OWNER)
(517) 458-7141
Entity
Organization

Contact information

Practice address
1211 WARREN AVE, JACKSON, MI 49203-3729
(517) 990-0555
(517) 990-0550
Mailing address
1211 WARREN AVE, JACKSON, MI 49203-3729
(517) 990-0555
(517) 990-0550

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0D61058
BCBS
MI
Enumeration date
08/30/2006
Last updated
06/17/2022
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