| |
2003 Old Main Street, Washington, KY 41096 | |
(606) 759-9800 | |
(606) 759-9710 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 2003 Old Main Street, Washington, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023153905 | NPI | - | NPPES |
85003788 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4537 (Kentucky) | Primary |
111N00000X | Chiropractor | 2331 (Ohio) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Po Box 211, Washington, KY 41096-0211 Ph: (606) 759-9800 | 2003 Old Main Street, Washington, KY 41096 Ph: (606) 759-9800 |