Stephen Laski, DC | |
5842 Fayetteville Rd, Ste 111, Durham, NC 27713-6294 | |
(919) 237-3008 | |
Not Available |
Full Name | Stephen Laski |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 5842 Fayetteville Rd, Durham, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295269306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 012912 (New York) | Secondary |
111N00000X | Chiropractor | 4886 (North Carolina) | Primary |
Provider Name | Jordan Physician Associates Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538145131 PECOS PAC ID: 1254321086 Enrollment ID: O20040514000167 |
Mailing Address | Practice Location Address |
---|---|
Stephen Laski, DC 5310 Nc Highway 55, Ste 102, Durham, NC 27713-7813 Ph: (919) 544-4663 | Stephen Laski, DC 5842 Fayetteville Rd, Ste 111, Durham, NC 27713-6294 Ph: (919) 237-3008 |
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