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BLUEGRASS CHIROPRACTIC CENTER LLC NPI 1801960042


NPI Information

NPI: 1801960042
Provider Name: BLUEGRASS CHIROPRACTIC CENTER LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
606A BLOOMFIELD ROAD
BARDSTOWN, KY
ZIP 40004
Phone: (502) 350-3700
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BLUEGRASS CHIROPRACTIC CENTER LLC is a chiropractor in Bardstown, 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. BLUEGRASS CHIROPRACTIC CENTER LLC NPI is 1801960042. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

606A BLOOMFIELD ROAD
BARDSTOWN, KY
ZIP 40004
Phone: (502) 350-3700

The provider's authorized official is Terry Kevyn Marmon .
The authorized official title is Owner and has the following contact phone number (502) 350-3700.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 2/29/2008.


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
1111N00000XChiropractor4521KENTUCKYYes

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
1U66567MEDICARE UPIN
285001931MEDICAIDKENTUCKY
36088401MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
41155747OTHERKENTUCKYPASSPORT

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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