| Jack Loy, DC | |
|
2855 Byron Center Ave Sw, Wyoming, MI 49519-2415 | |
| (616) 532-2518 | |
| Not Available |
| Full Name | Jack Loy |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 2 Years |
| Location | 2855 Byron Center Ave Sw, Wyoming, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548050974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2301401613 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kooistra Chiropractic Clinic Pllc | 0042472672 | 4 |
| Provider Name | Kooistra Chiropractic Clinic PLLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396018446 PECOS PAC ID: 0042472672 Enrollment ID: O20120427000138 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Loy, DC 2855 Byron Center Ave Sw, Wyoming, MI 49519-2415 Ph: (573) 239-6088 | Jack Loy, DC 2855 Byron Center Ave Sw, Wyoming, MI 49519-2415 Ph: (616) 532-2518 |
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