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Contact Information

CRACKERBACK, INC
1679 OLD PRESTON HWY N
SUITE 6
LOUISVILLE, KY40229-3297
 Phone: 502-957-1021
 Fax: 502-957-1703
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CRACKERBACK INC · (Female)

NPI Number 1548430747
Status Active
Credentials
Entity Individual
Enumeration date 03/04/2008
Last updated 03/04/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 4365
  • KY Other 8907 MEDICARE GROUP
  • KY Other DC2130 RAILROAD MEDICARE GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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