| Dr Kris Blaine Lastine, DC | |
|
1411 E College Dr, Ste 4, Marshall, MN 56258 | |
| (507) 537-1475 | |
| (507) 537-9498 |
| Full Name | Dr Kris Blaine Lastine |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 1411 E College Dr, Marshall, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053403006 | NPI | - | NPPES |
| 350005213 | Other | MN | NEW MEDICARE PROVIDER PTAN # 03/01/2013 |
| 59611LA | Other | MN | BCBS OF MN |
| 891228900 | Medicaid | MN | |
| P00056482 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2194 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kris Blaine Lastine, DC 1411 E College Dr, Ste 4, Marshall, MN 56258 Ph: (507) 537-1475 | Dr Kris Blaine Lastine, DC 1411 E College Dr, Ste 4, Marshall, MN 56258 Ph: (507) 537-1475 |
Dr. Abby Ree Ricketts, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 104 W Redwood St, Marshall, MN 56258 Phone: 507-532-2655 Fax: 507-532-2951 | |
Lee Fixen, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 104 W Redwood St, Marshall, MN 56258 Phone: 507-532-2655 Fax: 507-532-2951 | |
Bruns Chiropractic, Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 203 Jewett St, Marshall, MN 56258 Phone: 507-532-2203 Fax: 507-532-2204 | |
Dr. Marah Rae Hoffman, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 111 Jewett St, Marshall, MN 56258 Phone: 507-532-4355 Fax: 507-532-2399 | |
Kelly Dvorak, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 111 Jewett St, Marshall, MN 56258 Phone: 507-532-4355 | |
Dr. Quentin James Fixen, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 104 W Redwood St, Marshall, MN 56258 Phone: 507-532-2655 Fax: 507-532-2951 |