| North Shively Chiropractic, Llc | |
|
1525 Bardstown Rd, Louisville, KY 40205-1109 | |
| (502) 454-5000 | |
| (502) 454-5225 |
| Full Name | North Shively Chiropractic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1525 Bardstown 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 |
|---|---|---|---|
| 1952477267 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Charles E Copeland |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104916162 PECOS PAC ID: 3476576893 Enrollment ID: I20060111000531 |
| Mailing Address | Practice Location Address |
|---|---|
| North Shively Chiropractic, Llc 1525 Bardstown Rd, Louisville, KY 40205-1109 Ph: (502) 454-5000 | North Shively Chiropractic, Llc 1525 Bardstown Rd, Louisville, KY 40205-1109 Ph: (502) 454-5000 |
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