Carter County Chiropractic
Organization Active NPI Chiropractor · Grayson, KY
NPI 1457385437 · NPPES record last updated Oct 11, 2012
Key facts
- NPI
- 1457385437
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5109 (KY)
- Legal business name
- CARTER COUNTY CHIROPRACTIC
- Practice address
- 186 Interstate Dr
Grayson, KY 41143-1787 - Phone
- (606) 475-0000
- Fax
- (606) 474-0954
- NPI assigned
- Jul 10, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- CARTER COUNTY CHIROPRACTIC
Authorized official
- Name
- Julie A Leist
- Title
- Billing Manager
- Phone
- (740) 622-7108
National Provider Directory
- Part of
- Carter County Chiropractic
Locations
207 N Carol Malone Blvd
Ste A
Grayson, KY 41143
Phone (606) 474-2444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 5109 | KY | Yes |
Addresses
Primary practice location
186 Interstate Dr
Grayson, KY 41143-1787
Mailing address
186 Interstate Dr
Grayson, KY 41143-1787
Phone (606) 475-0000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85000818 | Medicaid | KY | |
| 000000206230 | Other | KY | ANTHEM |
Other names
- American Health Centers of Grayson
Other providers in Grayson, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2012. 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.