Tim J Lee, D.C.
Individual provider Active NPI Chiropractor · Eminence, KY
NPI 1851434765 · NPPES record last updated Feb 11, 2014
Key facts
- NPI
- 1851434765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4787 (KY)
- Practice address
- 4667 North Main St
Eminence, KY 40019 - Phone
- (502) 845-2225
- Fax
- (502) 845-2226
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4667 N Main St
Eminence, KY 40019-1019
Phone (502) 845-2225
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051121000205 | KY | Practitioner - Chiropractic | 1850310780 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4787 | KY | MD | Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Family Chiropractic, PLLC | Chiropractor | Current |
Accepting new patients |
| Shelbyville Chiropractic Center, P.S.C. | Past |
Accepting new patients |
Locations
4667 N Main St
Eminence, KY 40019
Phone (502) 845-2225
89 Mount Eden Rd
Shelbyville, KY 40065
Phone (502) 633-2225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4787 | KY | Yes |
Addresses
Primary practice location
4667 North Main St
Eminence, KY 40019
Mailing address
4667 North Main St.
Eminence, KY 40019
Phone (502) 845-2225
Other providers in Eminence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2014. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.