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Contact Information

ALLIANCE CHIROPRACTIC OF SE, LLC
10701 W MANSLICK RD
FAIRDALE, KY40118-9581
 Phone: 502-367-2112
 Fax: 502-367-7799
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ALLIANCE CHIROPRACTIC OF SE, LLC

NPI # 1831255116
LBN Legal business name ALLIANCE CHIROPRACTIC OF SE, LLC
Authorized official MOSEN KHANI - (MANAGING DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/29/2006
Last updated 03/11/2014 - About 12 years ago
Identifiers
KY License # 4056
KY Medicaid 85001568
KY Other 000000108878 ANTHEM
KY Other 1150522 PASSPORT MEDICAID
KY Other 350053484 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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