| Leedle Chiropractic Clinic P C | |
|
11460 Highland Rd Hartland MI 48353-2736 | |
| (810) 632-7700 | |
| (810) 632-9770 |
| Full Name | Leedle Chiropractic Clinic P C |
|---|---|
| Speciality | Clinic/Center |
| Location | 11460 Highland Rd, Hartland, Michigan |
| Authorized Official Name and Position | James D. Leedle (PRESIDENT) |
| Authorized Official Contact | 8106327700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leedle Chiropractic Clinic P C 11460 Highland Rd Hartland MI 48353-2736 Ph: (810) 632-7700 | Leedle Chiropractic Clinic P C 11460 Highland Rd Hartland MI 48353-2736 Ph: (810) 632-7700 |
| NPI Number | 1619177078 |
|---|---|
| Provider Enumeration Date | 07/23/2007 |
| Last Update Date | 07/23/2007 |
| Medicare PECOS PAC ID | 0749371953 |
|---|---|
| Medicare Enrollment ID | O20070802000085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619177078 | NPI | - | NPPES |
| 123473 | Other | MI | CARE CHOICES ID # |
| 123473 | Other | MI | PREFERRED CHOICES ID # |
| T33187 | Other | MI | BC BS UPIN |
| 290825 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 095579 (Michigan) | Primary |
| Provider Name | James D Leedle |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841299179 PECOS PAC ID: 8921199126 Enrollment ID: I20070802000068 |
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Bruce Terrio Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12675 Whalen Lake Dr, Hartland, MI 48353 Phone: 248-347-8191 Fax: 440-934-6147 | |
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