| Jason P Laske, DC | |
|
24640 Telegraph Rd, Flat Rock, MI 48134-9226 | |
| (734) 782-0200 | |
| (734) 789-7876 |
| Full Name | Jason P Laske |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 24640 Telegraph Rd, Flat Rock, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437192093 | NPI | - | NPPES |
| MI1337001 | Other | MI | INDIVIDUAL MEDICARE PTAN |
| 900072659 | Other | MI | PRIORITY HEALTH |
| P00690884 | Other | MI | UNITED HEALTH CARE |
| V10353 | Other | MI | HAP |
| 1437192093 | Other | MI | INDIVIDUAL NPI |
| 1679710800 | Other | MI | GROUP NPI |
| 1013467323 | Other | MI | GROUP NPI |
| 4948941 | Other | MI | MEDICAID |
| 950H242880 | Other | MI | BLUE CROSS |
| MI1337 | Other | MI | GROUP MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2301008988 (Michigan) | Primary |
| Provider Name | Laske Family Chiropractic, P.c. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679710800 PECOS PAC ID: 1456415694 Enrollment ID: O20090203000021 |
| Provider Name | Fountain Chiro Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1013467323 PECOS PAC ID: 1951689884 Enrollment ID: O20161028000104 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason P Laske, DC 24640 Telegraph Rd, Flat Rock, MI 48134-9226 Ph: (734) 782-0200 | Jason P Laske, DC 24640 Telegraph Rd, Flat Rock, MI 48134-9226 Ph: (734) 782-0200 |
Fountain Chiro Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 24640 Telegraph Rd, Flat Rock, MI 48134 Phone: 734-782-0200 Fax: 734-782-0200 | |
Liedel Chiropractic Clinic, Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 27108 Telegraph Rd, Flat Rock, MI 48134 Phone: 734-783-5040 | |
Dr. Greg Ross Fountain, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 24640 Telegraph Rd, Flat Rock, MI 48134 Phone: 734-652-7259 | |
Dr. Cara Hope Phillips, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 29100 Gateways Blvd., Suite 100, Flat Rock, MI 48134 Phone: 734-379-9200 Fax: 734-379-9229 | |
Thomas A Clark, D.O. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 29100 Gateway Blvd, Ste 100, Flat Rock, MI 48134 Phone: 734-379-9200 Fax: 734-379-9229 | |
Porter & Clark Chiropractic Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 29100 Gateway Blvd, Ste 100, Flat Rock, MI 48134 Phone: 734-379-9200 Fax: 734-379-9229 | |
Cory T Borawski, D.C. ( CHIROPRACTIC) Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 27108 Telegraph Road, Liedel Chiropractic Clinic, Flat Rock, MI 48134 Phone: 734-783-5040 Fax: 734-783-5403 |