Dr. Sanda Crnkic DC PLLC
Organization Active NPI Chiropractor · Franklin, KY
NPI 1447543749 · NPPES record last updated Jun 13, 2011
Key facts
- NPI
- 1447543749
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5145 (KY)
- Legal business name
- DR. SANDA CRNKIC DC PLLC
- Practice address
- 607 S Main St
Franklin, KY 42134-2328 - Phone
- (270) 586-8740
- Fax
- (270) 586-8743
- NPI assigned
- May 18, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Sanda Crnkic-Mandrapa, DC
- Title
- Owner
- Phone
- (270) 586-8740
Practitioners 1
-
Sanda Crnkic, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110525000665 | KY | Part B Supplier - Clinic/Group Practice | 2365628427 |
Receives reassigned benefits from 1 practitioner Practice locations: Franklin, KY |
National Provider Directory
Locations
122 Memorial Dr
Franklin, KY 42134
Phone (270) 586-3424
607 S Main St
Franklin, KY 42134
Phone (270) 586-8740
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 5145 | KY | Yes |
Addresses
Primary practice location
607 S Main St
Franklin, KY 42134-2328
Mailing address
607 S Main St
Franklin, KY 42134-2328
Phone (270) 586-8740
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194971002 | Other | KY | PERSONAL NPI |
| 7100071930 | Medicaid | KY |
Other providers in Franklin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.