| Tenniswood Chiropractic Llc | |
|
4010 Page Ave Ste 104, Michigan Center, MI 49254-1026 | |
| (151) 776-4530 | |
| (517) 764-5417 |
| Full Name | Tenniswood Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4010 Page Ave Ste 104, Michigan Center, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801378971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2301010392 (Michigan) | Primary |
| Provider Name | Stephen S Tenniswood |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609931948 PECOS PAC ID: 8527234111 Enrollment ID: I20160314001590 |
| Mailing Address | Practice Location Address |
|---|---|
| Tenniswood Chiropractic Llc 4010 Page Ave Ste 104, Michigan Center, MI 49254-1026 Ph: (151) 776-4530 | Tenniswood Chiropractic Llc 4010 Page Ave Ste 104, Michigan Center, MI 49254-1026 Ph: (151) 776-4530 |
Jason Max Ellis, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4010 Page Ave, Ste 104, Michigan Center, MI 49254 Phone: 248-489-4044 Fax: 248-489-4055 | |
Mr. Stephen Scott Tenniswood, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4010 Page Ave # 104, Michigan Center, MI 49254 Phone: 517-764-5305 Fax: 517-647-5417 | |
Joseph A Mayo Jr Dc Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4640 Page Ave, Michigan Center, MI 49254 Phone: 517-764-5305 Fax: 517-764-5417 |