Grayson Chiropractic Center PSC Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4234 Issued in KY

Legal business name

GRAYSON CHIROPRACTIC CENTER PSC INC

Practice address

308 Horton St
Suite # 2
Grayson, KY 41143

Phone

(606) 474-6445

Fax

(606) 474-6445

NPI assigned

Jan 30, 2007

Organization subpart

No

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

Authorized official

Name

John Dolf Fischer, D.C.

Title

Owner

Phone

(606) 474-6445

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1093851453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 HORTON ST",
            "address_2": "SUITE # 2",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431319",
            "telephone_number": "606-474-6445",
            "fax_number": "606-474-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 HORTON ST",
            "address_2": "SUITE # 2",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "41143",
            "telephone_number": "606-474-6445",
            "fax_number": "606-474-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSON CHIROPRACTIC CENTER PSC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DOLF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-474-6445",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KY",
            "license": "4234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85042349",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Renee Gilliam, APRN
• James Allen Gish, R.PH.
• William Gollihue
• Grayhaven Physical Therapy, LLC
• Grayson Alternate Medicine Center
• Grayson Speech Therapy
• Grayson Speech Therapy
• Laura Green
• Amanda Grigsby, LPCC
• Sanjiv Gupta, MD

• Clinic/Center in Grayson, KY
• Providers in Grayson, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.