Kris Blaine Lastine in Marshall - Chiropractor
Kris Blaine Lastine - NPI 1053403006
Kris Blaine Lastine is a Chiropractor in Marshall, Minnesota. Kris Blaine Lastine practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kris Blaine Lastine is 1053403006. The last update date is 2013-04-02.
Kris Blaine Lastine's current location address is 1411 E College Dr, Marshall, Minnesota. You can contact this provider via phone number 5075371475 and fax number 5075379498. The mailing address for Kris Blaine Lastine is 1411 E College Dr, Marshall, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kris Blaine Lastine |
|---|---|
| Address | 1411 E College Dr, Marshall, Minnesota |
| Phone Number | 5075371475 |
| Fax Number | 5075379498 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1053403006 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2013-04-02 |
Provider Mailing Address Detail
| Address | 1411 E College Dr |
|---|---|
| City | Marshall |
| State | Minnesota (MN) |
| Post Code | 56258 |
| Phone Number | 5075371475 |
| Fax Number | 5075379498 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2194 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 350005213 | MN | NEW MEDICARE PROVIDER PTAN # | |
| 59611LA | MN | BCBS OF MN | |
| 891228900 | MN | -- | |
| P00056482 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Kris Blaine Lastine by the Centers for Medicare & Medicaid Services?
The Kris Blaine Lastine has been assigned the NPI (National Provider Identifier) 1053403006. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kris Blaine Lastine's facilities are situated?
The facilities of Kris Blaine Lastine are physically located at the following address: 1411 E College Dr, Marshall, MN, 56258.
What is the Kris Blaine Lastine's area of specialization and corresponding taxonomy classification?
The Kris Blaine Lastine's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
When was the Kris Blaine Lastine's 1053403006 issued?
The Kris Blaine Lastine's 1053403006 was issued on 2006-09-28.
When was the information pertaining to Kris Blaine Lastine most recently updated or revised?
The details related to Kris Blaine Lastine, including its address, specialty, and other relevant information, were last updated or revised on 2013-04-02.
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