National Provider Identifier Database

BEACON OF LIGHT 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

BEACON OF LIGHT FAMILY CHIROPRACTIC, PLLC
311 N 12TH ST
MIDDLESBORO, KY40965-1135
Phone: 606-302-4011
Fax: 606-302-4085
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for BEACON OF LIGHT FAMILY CHIROPRACTIC, PLLC

NPI Number 1851716369
Legal business name
LBN
BEACON OF LIGHT FAMILY CHIROPRACTIC, PLLC
Authorized official JASON TAYLOR - (OWNER/CHIROPRACTOR)
Entity Organization
Organization subpart No
Enumeration date 02/20/2014
Last updated 06/10/2025 - About 12 months ago
Sole proprietor1 Not specified
Identifiers
  • KY License #: 4890
  • KY License #: 4914
  • KY Medicaid: 7100183000
  • KY Medicaid: 7100187940
  • KY Other: 1245046457 NPI
  • KY Other: 1538686134 NPI

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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