Provider Demographics
NPI:1427111897
Name:KASTEN CHIROPRACTIC CLINIC, P.C.
Entity type:Organization
Organization Name:KASTEN CHIROPRACTIC CLINIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:KASTEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:269-968-7149
Mailing Address - Street 1:57 20TH ST S
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-2901
Mailing Address - Country:US
Mailing Address - Phone:269-968-7149
Mailing Address - Fax:269-968-4284
Practice Address - Street 1:57 20TH ST S
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-2901
Practice Address - Country:US
Practice Address - Phone:269-968-7149
Practice Address - Fax:269-968-4284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIRK00255111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0A35025Medicare ID - Type Unspecified
MIT32658Medicare UPIN
MI350029030Medicare ID - Type UnspecifiedRAILROAD MEDICARE