1982777330 NPI number — AKERS FAMILY CHIROPRACTIC INC PSC

Table of content: (NPI 1982777330)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982777330 NPI number — AKERS FAMILY CHIROPRACTIC INC PSC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AKERS FAMILY CHIROPRACTIC INC PSC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982777330
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/16/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1288
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PIKEVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
41502-1288
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-432-8395
Provider Business Mailing Address Fax Number:
606-432-2088

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
171 HIBBARD ST
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
PIKEVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41501-1754
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-432-8395
Provider Business Practice Location Address Fax Number:
606-432-2088
Provider Enumeration Date:
11/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
AKERS
Authorized Official First Name:
ADAM
Authorized Official Middle Name:
CLARK
Authorized Official Title or Position:
DOCTOR OF CHIROPRATIC
Authorized Official Telephone Number:
606-432-8395

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  4613 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1186627 . This is a "CNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000000189696 . This is a "BC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 85001311 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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