Provider Demographics
NPI:1275628471
Name:DR DENNIS R KASH PC
Entity Type:Organization
Organization Name:DR DENNIS R KASH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:KASH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-299-4447
Mailing Address - Street 1:1324 W AUBURN
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309
Mailing Address - Country:US
Mailing Address - Phone:248-299-4447
Mailing Address - Fax:248-299-1816
Practice Address - Street 1:1324 W AUBURN
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309
Practice Address - Country:US
Practice Address - Phone:248-299-4447
Practice Address - Fax:248-299-1816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301400159111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
U42386Medicare UPIN
0F35078Medicare ID - Type Unspecified