| Lakeside Chiropractic | |
|
101 Bridge St, East Jordan, MI 49727-9301 | |
| (231) 536-2616 | |
| Not Available |
| Full Name | Lakeside Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 101 Bridge St, East Jordan, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134549553 | NPI | - | NPPES |
| 1609934 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2301004661 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Chiropractic 101 Bridge St, Po Box 602, East Jordan, MI 49727-9301 Ph: (231) 536-2616 | Lakeside Chiropractic 101 Bridge St, East Jordan, MI 49727-9301 Ph: (231) 536-2616 |
Dr. Martina Peterson, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 306 Main St, East Jordan, MI 49727 Phone: 231-675-0733 | |
Dr. Daniel J Thomas, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 101 Bridge St, East Jordan, MI 49727 Phone: 231-536-2616 |