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CAMPBELLSBURG CHIROPRACTIC PSC NPI 1699980383


NPI Information

NPI: 1699980383
Provider Name: CAMPBELLSBURG CHIROPRACTIC, PSC

Doing Business As: MARK E. HINES, DC

Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 18D2075601

Address:
8172 MAIN ST
CAMPBELLSBURG, KY
ZIP 40011
Phone: (502) 532-0099
Get Directions

CAMPBELLSBURG CHIROPRACTIC, PSC is a chiropractor in Campbellsburg, 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. CAMPBELLSBURG CHIROPRACTIC, PSC NPI is 1699980383. The provider is registered as an organization entity type.
The provider Is Doing Business As Mark E. Hines, Dc.

The provider's business location address is:

8172 MAIN ST
CAMPBELLSBURG, KY
ZIP 40011-293
Phone: (502) 532-0099
Fax: (502) 532-0096

The provider's authorized official is Mark Everett Hines .
The authorized official title is Owner and has the following contact phone number (502) 532-0099.

The CLIA number assigned to this NPI record is 18D2075601 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 10/13/2010.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center4721KENTUCKYNo
2111N00000XChiropractor4721KENTUCKYYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18500359800MEDICAIDKENTUCKY
28919MEDICARE PIN
3Y17398MEDICARE UPINKENTUCKY

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: 5/5/2024

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