East Broadway Chiropractic & Rehabilitation | |
418 E Broadway, Louisville, KY 40202-1706 | |
(502) 681-6800 | |
(502) 681-6868 |
Full Name | East Broadway Chiropractic & Rehabilitation |
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Type | Facility |
Speciality | Chiropractor |
Location | 418 E Broadway, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447506977 | NPI | - | NPPES |
85002673 | Medicaid | KY | |
7100293440 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4507 (Kentucky) | Primary |
Provider Name | Bruce Mckinney |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1780751230 PECOS PAC ID: 2264321991 Enrollment ID: I20040311001110 |
Provider Name | Scott A Gittings |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1487616173 PECOS PAC ID: 0446274534 Enrollment ID: I20060117000066 |
Mailing Address | Practice Location Address |
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East Broadway Chiropractic & Rehabilitation 418 E Broadway, Louisville, KY 40202-1706 Ph: (502) 681-6800 | East Broadway Chiropractic & Rehabilitation 418 E Broadway, Louisville, KY 40202-1706 Ph: (502) 681-6800 |
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