| Dr Ian Shepstone, DC | |
|
139 W Michigan Ave, Grass Lake, MI 49240-9188 | |
| (517) 522-8315 | |
| Not Available |
| Full Name | Dr Ian Shepstone |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 139 W Michigan Ave, Grass Lake, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639789522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2301010940 (Michigan) | Primary |
| Provider Name | Grass Lake Chiropractic Center, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629233150 PECOS PAC ID: 4981777885 Enrollment ID: O20080725000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ian Shepstone, DC 640 Cliffs Dr Apt 301b, Ypsilanti, MI 48198-7342 Ph: (847) 471-2248 | Dr Ian Shepstone, DC 139 W Michigan Ave, Grass Lake, MI 49240-9188 Ph: (517) 522-8315 |
Daniel Nelson Mikel, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 125 W Michigan Ave, Grass Lake, MI 49240 Phone: 517-522-8315 | |
Dr. Patrick Raymond Eckes, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 125 W Michigan Ave, Grass Lake, MI 49240 Phone: 517-522-8315 Fax: 517-522-5493 | |
Grass Lake Chiropractic Center, Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 125 W Michigan Ave, Grass Lake, MI 49240 Phone: 517-522-8315 Fax: 517-522-5493 |