Back and Body Chiropractic Center Inc.
Organization Active NPI Chiropractor · Liberty, KY
NPI 1568596286 · NPPES record last updated Dec 30, 2013
Key facts
- NPI
- 1568596286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- KY4614 (KY)
- Legal business name
- BACK AND BODY CHIROPRACTIC CENTER INC.
- Practice address
- 69 Hustonville Street
Liberty, KY 42539 - Phone
- (606) 787-2800
- Fax
- (606) 787-2880
- NPI assigned
- Mar 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Erica Lynn Montgomery-Turner, D.C.
- Title
- Doctor
- Phone
- (606) 787-2800
Practitioners 3
-
Michael L Turner II, D.C.
-
Angie Wilson, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041201000631 | KY | Part B Supplier - Clinic/Group Practice | 3274598230 |
Receives reassigned benefits from 2 practitioners Practice locations: Liberty, KY |
National Provider Directory
Locations
69 Hustonville St
Liberty, KY 42539
Phone (606) 787-2800
108 Taylor St
Liberty, KY 42539
Phone (606) 706-4265
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | KY4614 | KY | Yes |
Addresses
Primary practice location
69 Hustonville Street
Liberty, KY 42539
Mailing address
PO Box 340
Liberty, KY 42539-0340
Phone (606) 787-2800
Other providers in Liberty, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2013. 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.