Charles Scott Kooistra is a Wyoming, Michigan based male chiropractor who is specialized as General Chiropractor. Active license number of Charles Scott Kooistra as General Chiropractor is CK002664 in Michigan. Charles Scott Kooistra is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Charles Scott Kooistra speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Gender:
Male
Practice Address:
2855 Byron Center Ave Sw, Wyoming, Michigan, 49519-2415
Phone:
616-532-2518
Fax:
616-532-2696
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1417943036
NPI Enumeration Date:
20 Sep, 2005
NPI Last Update On:
03 Feb, 2017
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Scott Kooistra are as mentioned below.
License Number
Specialization
State
Status
CK002664
Chiropractor
Michigan
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Charles Scott Kooistra such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
950D150810
Other
BCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2855 Byron Center Ave Sw, Wyoming, Michigan
Zip:
49519-2415
Phone Number:
616-532-2518
Fax Number:
616-532-2696
Patients can reach Charles Scott Kooistra at 2855 Byron Center Ave Sw, Wyoming, Michigan or can call to book an appointment on 616-532-2518. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.