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Contact Information

ALLIANCE CHIROPRACTIC OF SE, LLC
10701 W MANSLICK RD
FAIRDALE, KY40118-9581
 Phone: 502-367-2112
 Fax: 502-367-7799
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ALLIANCE CHIROPRACTIC OF SE LLC · (Female)

NPI # 1831255116
Status Active
Credentials
Entity Individual
Enumeration date 12/29/2006
Last updated 03/11/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 4056
  • KY Medicaid 85001568
  • KY Other 000000108878 ANTHEM
  • KY Other 1150522 PASSPORT MEDICAID
  • KY Other 350053484 RAILROAD MEDICARE
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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