Organization Active NPI

Eriksen Chiropractic of Elizabethtown, PLLC

  • Chiropractor
  • Elizabethtown, KY
National Provider Identifier
1013217819
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ERIKSEN CHIROPRACTIC OF ELIZABETHTOWN, PLLC
Practice address
701 N Mulberry St
Elizabethtown, KY 42701-1919
Phone
(270) 769-5731
Fax
(270) 769-0280
NPI assigned
Oct 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William Eriksen, D.C.NPI 1649370792
Title
Owner
Phone
(270) 737-7597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

701 N Mulberry St
Elizabethtown, KY 42701-1919

Mailing address

415 Cardinal Dr
Elizabethtown, KY 42701-2769
Phone (270) 737-7597

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1013217819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 CARDINAL DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012769",
            "telephone_number": "270-737-7597",
            "fax_number": "270-769-5317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N MULBERRY ST",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011919",
            "telephone_number": "270-769-5731",
            "fax_number": "270-769-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIKSEN CHIROPRACTIC OF ELIZABETHTOWN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "ERIKSEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-737-7597",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.