Provider Demographics
NPI:1891965828
Name:DIONNE CHIROPRACTIC OFFICES, P.C.
Entity Type:Organization
Organization Name:DIONNE CHIROPRACTIC OFFICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GUY
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:DIONNE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:616-874-5300
Mailing Address - Street 1:6411 BELLA VISTA DR NE
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49341-7869
Mailing Address - Country:US
Mailing Address - Phone:616-874-5300
Mailing Address - Fax:616-874-4192
Practice Address - Street 1:6411 BELLA VISTA DR NE
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:MI
Practice Address - Zip Code:49341-7869
Practice Address - Country:US
Practice Address - Phone:616-874-5300
Practice Address - Fax:616-874-4192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIGD002314261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0D15072Medicare PIN