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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 Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CRACKERBACK, INC

NPI Number 1548430747
LBN Legal business name CRACKERBACK, INC
Authorized official RODRICK HAHN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/04/2008
Last updated 03/04/2008 - About 18 years ago
Identifiers
KY License # 4365
KY Other 8907 MEDICARE GROUP
KY Other DC2130 RAILROAD MEDICARE GROUP
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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