Aamodt, Wayne Garth

Aamodt, Wayne Garth is an individual health care provider with primary practice located at 1805 44Th St Se , Grand Rapids MI 49508-5005. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Aamodt, Wayne Garth can be contacted via phone (616) 455-4200.

Contact Information

Primary practice address
1805 44Th St Se Grand Rapids MI 49508-5005
Phone: (616) 455-4200
Fax: (616) 455-4201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301004756 Michigan

Profile Details

NPI number 1710975370
LBN Legal business name Aamodt, Wayne Garth
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710975370 NPPES
Michigan Other 10888236 CAQH

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