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Contact Information

BACK IN LINE FAMILY CHIROPRACTIC PSC INC
1212 N MAIN ST
WILLIAMSTOWN, KY41097-8503
 Phone: 859-824-6700
 Fax: 859-824-6720
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BACK IN LINE FAMILY CHIROPRACTIC PSC INC

NPI Number 1457559445
LBN Legal business name BACK IN LINE FAMILY CHIROPRACTIC PSC INC
Authorized official TESSA POST - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/11/2007
Last updated 05/14/2014 - About 12 years ago
Identifiers
KY License # 4546
KY Medicaid 85002723
KY Other 000000221738 ANTHEM BLUE CROSS BLUE SH
KY Other K4546 STATE LICENSE
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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