National Provider Identifier Database

BLUEGRASS FAMILY CHIROPRACTIC PLLC
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

BLUEGRASS FAMILY CHIROPRACTIC PLLC
BLUEGRASS FAMILY CHIROPRACTIC PLLC
30 S LAKE DR
PRESTONSBURG, KY41653
Phone: 606-886-1416
Fax: 606-886-8849
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for BLUEGRASS FAMILY CHIROPRACTIC PLLC

NPI Number 1780118877
Legal business name
LBN
BLUEGRASS FAMILY CHIROPRACTIC PLLC
Authorized official LEYTON CHILDERS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/14/2017
Last updated 11/14/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 5463
  • KY Medicaid: 7100389560

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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