1457773152 NPI number — LCT CHIROPRACTIC PLLC

Table of content: (NPI 1457773152)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457773152 NPI number — LCT CHIROPRACTIC PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LCT CHIROPRACTIC PLLC
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:
6
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:
1457773152
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/13/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
100 EASTSIDE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GEORGETOWN
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40324-9797
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-868-0097
Provider Business Mailing Address Fax Number:
502-868-7499

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 EASTSIDE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GEORGETOWN
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40324-9797
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-868-0097
Provider Business Practice Location Address Fax Number:
502-868-7499
Provider Enumeration Date:
01/15/2014

Additional Information

Authorized Official

Authorized Official Last Name:
TAYLOR
Authorized Official First Name:
LANDON
Authorized Official Middle Name:
Authorized Official Title or Position:
DC/OWNER
Authorized Official Telephone Number:
502-868-0097

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 7100426970 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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