| Moss Chiropractic Clinic P.c. | |
|
429 N. Paw Paw Street, Coloma, MI 49038 | |
| (269) 468-5775 | |
| (269) 468-3447 |
| Full Name | Moss Chiropractic Clinic P.c. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 429 N. Paw Paw Street, Coloma, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316123102 | NPI | - | NPPES |
| 950A111480 | Other | MI | BLUE CROSS BLUE SHIELD MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | David E Moss |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679558134 PECOS PAC ID: 3779476049 Enrollment ID: I20040203000101 |
| Mailing Address | Practice Location Address |
|---|---|
| Moss Chiropractic Clinic P.c. Pob 224, Coloma, MI 49038 Ph: (269) 468-5775 | Moss Chiropractic Clinic P.c. 429 N. Paw Paw Street, Coloma, MI 49038 Ph: (269) 468-5775 |
Mr. Daniel A Iliff, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6560 Red Arrow Highway, Coloma, MI 49038 Phone: 269-468-5775 Fax: 269-468-3447 | |
Mr. David Earl Moss, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 429 N Paw Paw St, Coloma, MI 49038 Phone: 269-468-5775 Fax: 269-468-3447 |