Organization
DOUBLEDAY'S SPINE & BRAIN OF SOUTHWEST MICHIGAN PLLC
Active
Other names
Doubleday's Spine & BRAIN of Southwest Michigan PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEAU DOUBLEDAY D.C., D.A.C.N.B. (MANAGER)
(269) 963-3072
Entity
Organization
Contact information
Practice address
601 SOUTH SHORE DRIVE, SUITE 121, BATTLE CREEK, MI 49014
(269) 963-3072
(269) 963-3085
Mailing address
601 S SHORE DR, SUITE 121, BATTLE CREEK, MI 49014-5440
(269) 963-3072
(269) 963-3085
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
2301009208
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4878299
—
MI
01
—
950A210370
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/21/2011
Last updated
06/29/2016
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