Jason A Vanskyhock, DC
Individual provider Active NPI Chiropractor · Mesick, MI
NPI 1093029639 · NPPES record last updated Aug 5, 2010
Key facts
- NPI
- 1093029639
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301009714 (MI)
- Practice address
- 111 E Edward St
Mesick, MI 49668-9575 - Phone
- (231) 885-3220
- Fax
- (231) 326-2112
- NPI assigned
- Aug 5, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301009714 | MI | Yes |
Addresses
Primary practice location
111 E Edward St
Mesick, MI 49668-9575
Mailing address
111 E Edward St
PO Box 672
Mesick, MI 49668-9575
Phone (231) 885-3220
Other providers in Mesick, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.