| Domenick Pllc | |
|
4085 S Center Rd, Burton, MI 48519-1957 | |
| (810) 744-4251 | |
| (810) 744-1039 |
| Full Name | Domenick Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4085 S Center Rd, Burton, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780724070 | NPI | - | NPPES |
| 950B514920 | Other | MI | BCBSM |
| 950B518000 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2301008818 (Michigan) | Primary |
| Provider Name | Wayne E Domenick |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1396743852 PECOS PAC ID: 6406819374 Enrollment ID: I20041111000072 |
| Mailing Address | Practice Location Address |
|---|---|
| Domenick Pllc 4085 S Center Rd, Burton, MI 48519-1957 Ph: (810) 744-4251 | Domenick Pllc 4085 S Center Rd, Burton, MI 48519-1957 Ph: (810) 744-4251 |
Sharon K Randall Dc Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4085 S Center Rd, Burton, MI 48519 Phone: 810-744-4251 Fax: 810-744-1039 | |
Kirk Forr, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4499 S Center Rd, Burton, MI 48519 Phone: 810-743-8033 Fax: 810-743-8033 | |
Dr. Khaled S El-ganainy, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1501 S Center Rd, Building A, Burton, MI 48509 Phone: 810-715-7746 Fax: 810-715-7716 | |
Ariel Cuthpert, Chiropractor Medicare: Medicare Enrolled Practice Location: 2065 S. Center Rd, Burton, MI 48519 Phone: 810-337-9594 Fax: 810-835-4595 | |
Renaissance Chiropractic Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 1501 S Center Rd, Building A, Burton, MI 48509 Phone: 810-715-7746 Fax: 810-715-7716 | |
Dr. Gary Albert Dickens, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: G4150 S Saginaw St, Burton, MI 48529 Phone: 810-742-1880 Fax: 810-742-1883 | |
Quest Health Systems Vi Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: G4150 S Saginaw St, Burton, MI 48529 Phone: 810-742-1880 Fax: 810-742-1883 |