East Side Chiropractic and Laser Therapy Center LLC
NPI 1508506353ActiveOrganization· Chiropractor· Green Bay, WI
Chiropractor in Green Bay, Wisconsin, registered in NPPES in March 2022. The authorized official on file is Michael Zastrow, D.C., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1508506353 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2022 |
| Last updated in NPPES | Apr 10, 2025 |
| Certified by provider | Apr 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
| Clinic/Center | 261Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WI) |
|---|
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