Individual
AMY BALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
935 52ND ST SE, KENTWOOD, MI 49508-6003
(616) 531-1500
Mailing address
935 52ND ST SE, KENTWOOD, MI 49508-6003
(616) 531-1500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
AW008886
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950D11500
BLUE CROSS ID NUMBER
MI
01
—
AW008886
STATE LICENSE
MI
Enumeration date
09/27/2006
Last updated
06/19/2008
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