Benton Chiropractic, PLLC
Organization Active NPI Chiropractor · Benton, KY
NPI 1730310285 · NPPES record last updated Nov 4, 2019
Key facts
- NPI
- 1730310285
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5322 (KY)
- Legal business name
- BENTON CHIROPRACTIC, PLLC
- Practice address
- 141 Commerce Blvd
Benton, KY 42025 - Phone
- (270) 527-2007
- Fax
- (270) 527-8324
- NPI assigned
- Jul 31, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Zachary Leible, DC
- Title
- Owner
- Phone
- (270) 527-2007
Practitioners 1
-
Derek Wade Snodgrass, D.C.
National Provider Directory
Locations
141 Commerce Blvd
Benton, KY 42025
Phone (270) 366-5598
103 W 8th St
Benton, KY 42025
Phone (270) 527-2007
112 E 5th St
Benton, KY 42025
Phone (270) 252-5840
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 5322 | KY | Yes |
Addresses
Primary practice location
141 Commerce Blvd
Benton, KY 42025
Mailing address
141 Commerce Blvd
Benton, KY 42025
Phone (270) 527-2007
Other practice location 1
112 E. 5th St
Benton, KY 42025
Phone (270) 527-2007
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100244920 | Medicaid | KY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bentonchiro@hotmail.com |
Other providers in Benton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2019. 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.