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MAX FAMILY CHIROPRACTIC REBECCA PANGEMANAN DC LLC NPI 1164075180


NPI Information

NPI: 1164075180
Provider Name: MAX FAMILY CHIROPRACTIC , REBECCA PANGEMANAN DC LLC

Doing Business As: MAX FAMILY CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
108 PASADENA DR STE 110
LEXINGTON, KY
ZIP 40503
Phone: (859) 303-7000
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MAX FAMILY CHIROPRACTIC , REBECCA PANGEMANAN DC LLC is a chiropractor in Lexington, 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. MAX FAMILY CHIROPRACTIC , REBECCA PANGEMANAN DC LLC NPI is 1164075180. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Max Family Chiropractic.

The provider's business location address is:

108 PASADENA DR STE 110
LEXINGTON, KY
ZIP 40503-966
Phone: (859) 303-7000
Fax: (859) 303-5001

The provider's authorized official is Rebecca Pangemanan .
The authorized official title is Owner and has the following contact phone number (859) 303-7000.

The enumeration date for this NPI number is 7/18/2019 and was last updated on 4/13/2023.


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
1111N00000XChiropractorYes

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
17100638340MEDICAIDKENTUCKY

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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