Organization
GEORGETOWN CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD H NIENHUIS D.C. (PARTNER)
(616) 457-4511
Entity
Organization
Contact information
Practice address
7579 MAIN ST, JENISON, MI 49428-9251
(616) 457-4511
(616) 667-1936
Mailing address
7579 MAIN ST, JENISON, MI 49428-9251
(616) 457-4511
(616) 667-1936
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G05036
MEDICARE PLUS BLUE
MI
01
—
959G01031
BC ID NUMBER
MI
01
—
DG7550
RAILROAD MEDICARE
MI
Enumeration date
03/05/2007
Last updated
04/09/2008
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