Organization
TASCO FAMILY CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOT MATTHEW TASCO D.C. (OWNER)
(248) 608-2675
Entity
Organization
Contact information
Practice address
115 E 3RD ST, ROCHESTER, MI 48307-2011
(248) 608-2675
(248) 608-2574
Mailing address
115 E 3RD ST, ROCHESTER, MI 48307-2011
(248) 608-2675
(248) 608-2574
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007860
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950F338340
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/09/2007
Last updated
10/03/2012
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