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Contact Information

ACTIVE BODY CHIROPRACTIC AND INJURY CENTER PLLC
507 JOSEPH DR.
STE. 4
HARRODSBURG, KY40330
 Phone: 859-734-2800
 Fax: 859-734-2805
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ACTIVE BODY CHIROPRACTIC AND INJURY CENTER PLLC

NPI # 1457535973
LBN Legal business name ACTIVE BODY CHIROPRACTIC AND INJURY CENTER PLLC
Authorized official TOSHA MCCORMACK - (COMPLIANCE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/19/2007
Last updated 10/06/2022 - About 4 years ago
Identifiers
KY Medicaid 7100293130
KY Other 00759001 MEDICARE PTIN
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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