A & E Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4673 Issued in KY

Legal business name

A & E CHIROPRACTIC, PLLC

Doing business as

Mt. Vernon Chiropractic

Practice address

70 School St
Mount Vernon, KY 40456-2948

Phone

(606) 256-1986

Fax

(606) 256-1984

NPI assigned

Aug 4, 2009

Last updated

Aug 4, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Matthew Brian Tackett, D.C.

Title

President

Phone

(606) 256-1986

Specialties & licenses 1

Addresses

Other names 1

• Mt. Vernon Chiropractic Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1780815142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 SCHOOL ST",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562948",
            "telephone_number": "606-256-1986",
            "fax_number": "606-256-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 SCHOOL ST",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562948",
            "telephone_number": "606-256-1986",
            "fax_number": "606-256-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & E CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "TACKETT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-256-1986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Vernon Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Mount Vernon, KY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.