100 Chiro Rodgers Lex, Pllc | |
161 Lexington Green Cir Ste B15, Lexington, KY 40503-3379 | |
(719) 217-0895 | |
Not Available |
Full Name | 100 Chiro Rodgers Lex, Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 161 Lexington Green Cir Ste B15, Lexington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033846001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Jeffery Tanner Crump |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1033791249 PECOS PAC ID: 3173932423 Enrollment ID: I20210517002652 |
Mailing Address | Practice Location Address |
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100 Chiro Rodgers Lex, Pllc 161 Lexington Green Cir Ste B15, Lexington, KY 40503-3379 Ph: (719) 217-0895 | 100 Chiro Rodgers Lex, Pllc 161 Lexington Green Cir Ste B15, Lexington, KY 40503-3379 Ph: (719) 217-0895 |
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