Dr. Kris Blaine Lastine is a Marshall, Minnesota based male chiropractor who is specialized as General Chiropractor. Active license number of Dr. Kris Blaine Lastine as General Chiropractor is 2194 in Minnesota. Dr. Kris Blaine Lastine is qualified as 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 interrelationship with other body systems.
Complete Profile:
Dr. Kris Blaine Lastine speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Gender:
Male
Practice Address:
1411 E College Dr, Ste 4, Marshall, Minnesota, 56258
Phone:
507-537-1475
Fax:
507-537-9498
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1053403006
NPI Enumeration Date:
28 Sep, 2006
NPI Last Update On:
02 Apr, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kris Blaine Lastine are as mentioned below.
License Number
Specialization
State
Status
2194
Chiropractor
Minnesota
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Kris Blaine Lastine such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
350005213
Other
Minnesota
NEW MEDICARE PROVIDER PTAN # 03/01/2013
59611LA
Other
Minnesota
BCBS OF MN
891228900
Medicaid
Minnesota
P00056482
Other
RAILROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1411 E College Dr, Ste 4 Marshall, Minnesota
Zip:
56258
Phone Number:
507-537-1475
Fax Number:
507-537-9498
Patients can reach Dr. Kris Blaine Lastine at 1411 E College Dr, Ste 4, Marshall, Minnesota or can call to book an appointment on 507-537-1475. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.