Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES SCOTT KOOISTRA, DC
Active Sole ProprietorCHARLES SCOTT KOOISTRA, DC is a Chiropractor healthcare provider located in WYOMING, Michigan. NPI 1417943036 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · WYOMING, MI
Registration Details
- NPI Number
- 1417943036
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2005 (20.715098534148 yrs)
- Last Updated
- Feb 3, 2017
- License
-
CK002664 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2855 BYRON CENTER AVE SWWYOMING, MI, 495192415Browse MI providers · Browse ZIP 49519
- Phone
- 6165322518
- Fax
- 6165322696
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in WYOMING, MI
| Name | Credential | NPI |
|---|---|---|
| GERALD B KOOISTRA | DC | 1881680403 |
| DR. JAMES JEFFREY HEATH | D.C. | 1972587640 |
| MARY E GLADISH | D.C. | 1497782155 |
| DR. MICHAEL RICHARD HALLIDAY | DC | 1295742351 |
| DR. LINDA S BRUINSMA | DC | 1508957150 |
| DR. RONALD GARY WILLIAMS | DC | 1356428221 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.