Mindbodylife Chiropractic & Diagnostic Center | |
135 Morgan St Versailles KY 40383-1428 | |
(859) 214-4711 | |
(833) 294-4733 |
Full Name | Mindbodylife Chiropractic & Diagnostic Center |
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Speciality | Clinic/Center |
Location | 135 Morgan St, Versailles, Kentucky |
Authorized Official Name and Position | Brandi T Jones (DOCTOR/OWNER) |
Authorized Official Contact | 8592144711 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mindbodylife Chiropractic & Diagnostic Center 135 Morgan St Versailles KY 40383-1428 Ph: (859) 214-4711 | Mindbodylife Chiropractic & Diagnostic Center 135 Morgan St Versailles KY 40383-1428 Ph: (859) 214-4711 |
NPI Number | 1740717818 |
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Provider Enumeration Date | 05/18/2017 |
Last Update Date | 01/07/2020 |
Medicare PECOS PAC ID | 6204192412 |
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Medicare Enrollment ID | O20171103001565 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740717818 | NPI | - | NPPES |
7100509000 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 5519 (Kentucky) | Primary |
Provider Name | Brandi T Jones |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1356879571 PECOS PAC ID: 7113283334 Enrollment ID: I20171103001656 |
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