Organization
MIKULA CHIROPRACTIC CENTER
Active
Other names
mikula chiropractic pc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL A. MERKLER (BILLING ASSOCIATE)
(616) 365-0255
Entity
Organization
Contact information
Practice address
4056 PLAINFIELD AVE NE, SUITE E, GRAND RAPIDS, MI 49525-1630
(616) 365-0255
(616) 365-0975
Mailing address
4056 PLAINFIELD AVE NE, SUITE E, GRAND RAPIDS, MI 49525-1630
(616) 365-0255
(616) 365-0975
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007183
MI
111N00000X
Chiropractor
2301007184
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D115053
BLUE CARE NETWORK
MI
01
—
0D15065
BLUE CARE NETWORK
MI
01
—
0P61830
MEDICARE PROVIDER ENROLLMENT PTAN
MI
05
—
13269896
—
MI
05
—
14443376
—
MI
01
—
950D120100
BLUE CROSS/BLUE SHIELD
MI
01
—
950D120110
BLUE CROSS/BLUE SHIELD
MI
01
—
OD15062753
BLUE CARE NETWORK
MI
01
—
P61830001
MEDICARE PROVIDER ENROLLMENT PTAN
MI
01
—
P61830002
MEDICARE PROVIDER ENROLLMENT PTAN
MI
Enumeration date
12/17/2008
Last updated
12/17/2008
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