Chiropractic Health Center of Lebanon PLLC
Organization Active NPI Chiropractor · Lebanon, KY
NPI 1386706331 · NPPES record last updated Oct 6, 2022
Key facts
- NPI
- 1386706331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- CHIROPRACTIC HEALTH CENTER OF LEBANON PLLC
- Practice address
- 308 N Depot St
Lebanon, KY 40033-1422 - Phone
- (270) 692-2652
- Fax
- (270) 692-6099
- NPI assigned
- Dec 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Tosha McCormack
- Title
- Compliance Officer
- Phone
- (859) 408-5440
Practitioners 1
National Provider Directory
Locations
308 N Depot St
Lebanon, KY 40033
Phone (270) 692-2652
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
308 N Depot St
Lebanon, KY 40033-1422
Mailing address
308 N Depot St
Lebanon, KY 40033-1422
Phone (270) 692-2652
Other practice location 1
303 W. Walnut Street
Lebanon, KY 40033
Phone (270) 692-2652
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100227840 | Medicaid | KY |
Other names
- Chiropractic Health Center
Other providers in Lebanon, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.