| Porter & Clark Chiropractic Pllc | |
|
29100 Gateway Blvd, Ste 100, Flat Rock, MI 48134-2764 | |
| (734) 379-9200 | |
| (734) 379-9229 |
| Full Name | Porter & Clark Chiropractic Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 29100 Gateway Blvd, Flat Rock, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316009756 | NPI | - | NPPES |
| 950H220980 | Other | MI | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | TC005814 (Michigan) | Secondary |
| 111N00000X | Chiropractor | MP004985 (Michigan) | Primary |
| 111N00000X | Chiropractor | JF008106 (Michigan) | Secondary |
| Provider Name | Thomas A Clark |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194796037 PECOS PAC ID: 0547317505 Enrollment ID: I20090408000238 |
| Provider Name | Cara H Phillips |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053552372 PECOS PAC ID: 0042369076 Enrollment ID: I20090522000159 |
| Provider Name | Daniel J Casselman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205218583 PECOS PAC ID: 1456664267 Enrollment ID: I20150723007156 |
| Provider Name | Eric Joseph Conner |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629567136 PECOS PAC ID: 5092060079 Enrollment ID: I20180614002183 |
| Mailing Address | Practice Location Address |
|---|---|
| Porter & Clark Chiropractic Pllc 29100 Gateway Blvd, Ste 100, Flat Rock, MI 48134-2764 Ph: (734) 379-9200 | Porter & Clark Chiropractic Pllc 29100 Gateway Blvd, Ste 100, Flat Rock, MI 48134-2764 Ph: (734) 379-9200 |
Fountain Chiro Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 24640 Telegraph Rd, Flat Rock, MI 48134 Phone: 734-782-0200 Fax: 734-782-0200 | |
Liedel Chiropractic Clinic, Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 27108 Telegraph Rd, Flat Rock, MI 48134 Phone: 734-783-5040 | |
Dr. Greg Ross Fountain, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 24640 Telegraph Rd, Flat Rock, MI 48134 Phone: 734-652-7259 | |
Dr. Cara Hope Phillips, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 29100 Gateways Blvd., Suite 100, Flat Rock, MI 48134 Phone: 734-379-9200 Fax: 734-379-9229 | |
Thomas A Clark, D.O. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 29100 Gateway Blvd, Ste 100, Flat Rock, MI 48134 Phone: 734-379-9200 Fax: 734-379-9229 | |
Cory T Borawski, D.C. ( CHIROPRACTIC) Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 27108 Telegraph Road, Liedel Chiropractic Clinic, Flat Rock, MI 48134 Phone: 734-783-5040 Fax: 734-783-5403 |