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Contact Information

LAGRANGE CHIROPRACTIC PSC
301 S 1ST ST
CRESTWOOD, KY40031
 Phone: 502-222-0000
 Fax: 502-222-3488
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for LAGRANGE CHIROPRACTIC PSC

NPI Number 1477679587
LBN Legal business name LAGRANGE CHIROPRACTIC PSC
Authorized official LIDO PETRUCCI - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/21/2007
Last updated 08/06/2008 - About 18 years ago
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 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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