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SPINE CENTER INC NPI 1053531665


NPI Information

NPI: 1053531665
Provider Name: SPINE CENTER INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
8707 OLD BARDSTOWN RD
LOUISVILLE, KY
ZIP 40291
Phone: (502) 231-4003
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SPINE CENTER INC is a chiropractor in Louisville, KY. The provider is a provider qualified by 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. SPINE CENTER INC NPI is 1053531665. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8707 OLD BARDSTOWN RD
LOUISVILLE, KY
ZIP 40291-435
Phone: (502) 231-4003
Fax: (502) 384-0374

The provider's authorized official is Todd M Hostutler .
The authorized official title is Owner and has the following contact phone number (502) 231-4003.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 10/7/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor4532KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100148500MEDICAIDKENTUCKY
2U88656MEDICARE UPINKENTUCKY
36099601MEDICARE PINKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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