National Provider Identifier Database

LAGRANGE 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

LAGRANGE CHIROPRACTIC PSC
301 S 1ST ST
CRESTWOOD, KY40031
Phone: 502-222-0000
Fax: 502-222-3488
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for LAGRANGE CHIROPRACTIC PSC

NPI Number 1477679587
Legal business name
LBN
LAGRANGE CHIROPRACTIC PSC
Authorized official LIDO PETRUCCI - (DOCTOR)
Entity Organization
Organization subpart No
Enumeration date 03/21/2007
Last updated 08/06/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 4315
  • KY Medicaid: 85036697
  • KY Other: 0974279 AETNA
  • KY Other: 9943660003 CIGNA
  • KY Other: 1140369 PASSPORT
  • KY Other: 2438073000 PASSPORT ADVANTAGE
  • KY Other: 350048657 RAILROAD MEDICARE

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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