Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chiqueta M McDonald-Moore

Individual provider Prosthetics Case Management · NPI 1811731987

Chiqueta M McDonald-Moore is a Prosthetics Case Management in Portage, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

536 Romence Rd Ste 106
Portage, MI 49024-3437
Phone: (616) 366-1889
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X · Licence 27701166199 (MI)

Record details

NPI number1811731987
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 22, 2024
Last updated in NPPESJune 22, 2024
Certification dateJune 22, 2024