Provider Demographics
NPI:1255475927
Name:ZEELAND FAMILY CHIROPRACTIC CENTER, P.C.
Entity type:Organization
Organization Name:ZEELAND FAMILY CHIROPRACTIC CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:AALDERINK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:616-772-0344
Mailing Address - Street 1:7 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:ZEELAND
Mailing Address - State:MI
Mailing Address - Zip Code:49464-1260
Mailing Address - Country:US
Mailing Address - Phone:616-772-0344
Mailing Address - Fax:
Practice Address - Street 1:7 N STATE ST
Practice Address - Street 2:
Practice Address - City:ZEELAND
Practice Address - State:MI
Practice Address - Zip Code:49464-1260
Practice Address - Country:US
Practice Address - Phone:616-772-0344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301007033111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950G05038OtherBCBSM
MI950G05038OtherBCBSM
MIU57607Medicare UPIN