National Provider Identifier Database

BACK 2 LIFE CHIROPRACTIC PSC
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

BACK 2 LIFE CHIROPRACTIC, PSC
104 LAWSON DR
SUITE 107
GEORGETOWN, KY40324-8998
Phone: 502-867-0089
Fax: 502-867-0180
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for BACK 2 LIFE CHIROPRACTIC, PSC

NPI Number 1376725911
Legal business name
LBN
BACK 2 LIFE CHIROPRACTIC, PSC
Authorized official RYAN BOND - (CHIROPRACTOR)
Entity Organization
Organization subpart No
Enumeration date 12/05/2007
Last updated 03/10/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 4716
  • KY Medicaid: 8500227
  • KY Other: 7197394 AETNA
  • KY Other: 000000227300 BLUECROSS BLUESHIELD
  • KY Other: 1196909 CHA
  • KY Other: 7187 MEDICARE GROUP
  • KY Other: 111N0000X TAXONOMY
  • KY Other: 645717 UHC

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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