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MIDDLETOWN CHIROPRACTIC NPI 1164613659


NPI Information

NPI: 1164613659
Provider Name: MIDDLETOWN CHIROPRACTIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
13106 SHELBYVILLE RD
LOUISVILLE, KY
ZIP 40243
Phone: (502) 253-0025
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MIDDLETOWN CHIROPRACTIC 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. MIDDLETOWN CHIROPRACTIC NPI is 1164613659. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13106 SHELBYVILLE RD
LOUISVILLE, KY
ZIP 40243-572
Phone: (502) 253-0025
Fax: (502) 253-9933

The provider's authorized official is Gary Roscoe Gardner .
The authorized official title is Ceo and has the following contact phone number (502) 253-0025.

The enumeration date for this NPI number is 8/8/2007 and was last updated on 8/8/2007.


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
1111N00000XChiropractor4707KENTUCKYYes

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
17877MEDICARE 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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