Provider Demographics
NPI:1720874324
Name:MICHIGAN CHIROPRACTIC AND NEUROPATHY CENTER
Entity type:Organization
Organization Name:MICHIGAN CHIROPRACTIC AND NEUROPATHY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLDENHOVEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-947-2464
Mailing Address - Street 1:1429 RIDGEWOOD AVE SE
Mailing Address - Street 2:
Mailing Address - City:EAST GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49506-5013
Mailing Address - Country:US
Mailing Address - Phone:630-947-2464
Mailing Address - Fax:
Practice Address - Street 1:1429 RIDGEWOOD AVE SE
Practice Address - Street 2:
Practice Address - City:EAST GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49506-5013
Practice Address - Country:US
Practice Address - Phone:630-947-2464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center