Provider Demographics
NPI:1841516549
Name:FLASKEY CHIROPRACTIC
Entity type:Organization
Organization Name:FLASKEY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:FLASKEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-692-2281
Mailing Address - Street 1:1722 6TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57006-2329
Mailing Address - Country:US
Mailing Address - Phone:605-692-2281
Mailing Address - Fax:605-692-2285
Practice Address - Street 1:1722 6TH ST
Practice Address - Street 2:
Practice Address - City:BROOKINGS
Practice Address - State:SD
Practice Address - Zip Code:57006-2329
Practice Address - Country:US
Practice Address - Phone:605-692-2281
Practice Address - Fax:605-692-2285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-20
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1134111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDP00732062OtherRAILROAD MEDICARE
SD9178925OtherDAKOTACARE
SD9263916OtherDAKOTACARE
SD9263916OtherDAKOTACARE