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GATEWAY CHIROPRACTIC, P.C. 14930 Complaisance Rd #116 Monroe, MI 48161 (734) 2424422Date: NAME (last) (first) (MI) Address (Street) (City) (State) (Zip) Home Phone # Cell # Birth Date Marital Status:SME
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Gateway Chiropractic P is a specific form related to chiropractic practices, often used for reporting purposes in a healthcare or insurance context.
Chiropractors and chiropractic clinics that meet certain criteria are required to file Gateway Chiropractic P.
To fill out Gateway Chiropractic P, gather necessary patient and practice information, follow the provided instructions, and ensure all sections are completed accurately.
The purpose of Gateway Chiropractic P is to standardize reporting for chiropractic services and ensure compliance with healthcare regulations.
Information that must be reported includes patient demographics, treatment details, billing information, and provider identification.
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