| Lynne Chadfield Do Pllc | |
|
1025 Spaulding Se Suite B Grand Rapids MI 49546-8417 | |
| (616) 940-2795 | |
| Not Available |
| Full Name | Lynne Chadfield Do Pllc |
|---|---|
| Speciality | Neuromusculoskeletal Medicine & OMM |
| Location | 1025 Spaulding Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Lynne M Chadfield (OWNER) |
| Authorized Official Contact | 6169402795 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynne Chadfield Do Pllc Po Box 3140 Grand Rapids MI 49501-3140 Ph: (616) 459-6867 | Lynne Chadfield Do Pllc 1025 Spaulding Se Suite B Grand Rapids MI 49546-8417 Ph: (616) 940-2795 |
| NPI Number | 1770761314 |
|---|---|
| Provider Enumeration Date | 02/06/2008 |
| Last Update Date | 10/20/2023 |
| Medicare PECOS PAC ID | 2567539919 |
|---|---|
| Medicare Enrollment ID | O20080926000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770761314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | (* (Not Available)) | Primary |
| Provider Name | Lynne M Chadfield |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1508088568 PECOS PAC ID: 5395812739 Enrollment ID: I20080926000090 |
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