Dr Michael F Grass, DC | |
5006 Stephan Dr Ste B, Louisville, KY 40258-1126 | |
(502) 933-2005 | |
(502) 933-2074 |
Full Name | Dr Michael F Grass |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 5006 Stephan Dr Ste B, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700976933 | NPI | - | NPPES |
85036663 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4228 (Kentucky) | Primary |
Provider Name | Dynamic Chiropractic Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831832559 PECOS PAC ID: 9830572072 Enrollment ID: O20220819002619 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael F Grass, DC 5006 Stephan Dr Ste B, Louisville, KY 40258-1126 Ph: (502) 933-2005 | Dr Michael F Grass, DC 5006 Stephan Dr Ste B, Louisville, KY 40258-1126 Ph: (502) 933-2005 |
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