| Louisville Chiropractic | |
|
138 Evergreen Rd, Ste 102, Louisville, KY 40243-1410 | |
| (502) 489-8480 | |
| Not Available |
| Full Name | Louisville Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 138 Evergreen Rd, 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 |
|---|---|---|---|
| 1275745861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4899 (Kentucky) | Primary |
| Provider Name | Shawn P Martin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609904937 PECOS PAC ID: 6103859749 Enrollment ID: I20050914001151 |
| Provider Name | Jack Edward Gallagher |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023673068 PECOS PAC ID: 7618399379 Enrollment ID: I20200910001357 |
| Mailing Address | Practice Location Address |
|---|---|
| Louisville Chiropractic 138 Evergreen Rd, Ste 102, Louisville, KY 40243-1410 Ph: (502) 489-8480 | Louisville Chiropractic 138 Evergreen Rd, Ste 102, Louisville, KY 40243-1410 Ph: (502) 489-8480 |
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