OrganizationCraft Chiropractic Center PcChiropractorChiropractic ProvidersPractice Address1586 44th St SW, Wyoming, MI 49509-4314(616) 455-7040PECOS EnrollmentBased on the most recent information from CMS, provider Craft Chiropractic Center Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:46 AM.Profile DetailsProvider ID1982934907Provider TypeOrganizationFull NameCraft Chiropractic Center PcSubpartNoEnumeration Date1/14/2010Last Updated12/29/2016Contact InformationPractice LocationPractice Address1586 44th St SW, Wyoming, MI 49509-4314Phone(616) 455-7040FaxUnlisted FaxMailing LocationMailing Address1586 44th St SW, Wyoming, MI 49509-4314Phone(616) 455-7040FaxUnlisted FaxAuthorized OfficialNameCraft, Dennis (Member)Phone(517) 543-1115Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense2301005297Michigan