| Ascension Chiropractic | |
|
13685 Eureka Rd Southgate MI 48195-1332 | |
| (734) 984-3620 | |
| Not Available |
| Full Name | Ascension Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 13685 Eureka Rd, Southgate, Michigan |
| Authorized Official Name and Position | Brandon Brock (OWNER) |
| Authorized Official Contact | 7343015120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Chiropractic 31430 Lavender Dr Brownstown MI 48173-8743 Ph: (734) 301-5120 | Ascension Chiropractic 13685 Eureka Rd Southgate MI 48195-1332 Ph: (734) 984-3620 |
| NPI Number | 1619649738 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 02/21/2022 |
| Medicare PECOS PAC ID | 8325433899 |
|---|---|
| Medicare Enrollment ID | O20220318002090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619649738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Brandon Thomas Brock |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033723622 PECOS PAC ID: 8628483575 Enrollment ID: I20210226001497 |
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