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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 Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BACK 2 LIFE CHIROPRACTIC, PSC

NPI Number 1376725911
LBN Legal business name BACK 2 LIFE CHIROPRACTIC, PSC
Authorized official RYAN BOND - (CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2007
Last updated 03/10/2011 - About 15 years ago
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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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