National Provider Identifier Database

CRACKERBACK INC
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

CRACKERBACK, INC
1679 OLD PRESTON HWY N
SUITE 6
LOUISVILLE, KY40229-3297
Phone: 502-957-1021
Fax: 502-957-1703
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for CRACKERBACK, INC

NPI Number 1548430747
Legal business name
LBN
CRACKERBACK, INC
Authorized official RODRICK HAHN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/04/2008
Last updated 03/04/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 4365
  • KY Other: 8907 MEDICARE GROUP
  • KY Other: DC2130 RAILROAD MEDICARE GROUP

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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