| Delta Chiropractic Center Of Lansing | |
|
6130 W Saginaw Hwy Lansing MI 48917-2465 | |
| (517) 321-3030 | |
| (517) 321-7015 |
| Full Name | Delta Chiropractic Center Of Lansing |
|---|---|
| Speciality | Clinic/Center |
| Location | 6130 W Saginaw Hwy, Lansing, Michigan |
| Authorized Official Name and Position | Charles F Roost (RESIDENT AGENT) |
| Authorized Official Contact | 5173213030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Chiropractic Center Of Lansing 6130 W Saginaw Hwy Lansing MI 48917-2465 Ph: (517) 321-3030 | Delta Chiropractic Center Of Lansing 6130 W Saginaw Hwy Lansing MI 48917-2465 Ph: (517) 321-3030 |
| NPI Number | 1497128649 |
|---|---|
| Provider Enumeration Date | 11/10/2015 |
| Last Update Date | 09/14/2023 |
| Medicare PECOS PAC ID | 8729432737 |
|---|---|
| Medicare Enrollment ID | O20230925003430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497128649 | NPI | - | NPPES |
| 0B31124 | Other | MI | BCBS |
| 0B35025 | Medicaid | MI | |
| P00216640 | Other | MI | MEDICARE RR |
| 0B35025 | Other | MI | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2301004303 (Michigan) | Primary |
| Provider Name | Charles Francis Roost |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275627382 PECOS PAC ID: 9133206824 Enrollment ID: I20080404000520 |
| Provider Name | Nicole Henry |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487437190 PECOS PAC ID: 8022462670 Enrollment ID: I20230929003003 |
| Provider Name | Carl Thomas Zies |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1427834464 PECOS PAC ID: 0446604953 Enrollment ID: I20231002001239 |
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