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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 Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

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

NPI # 1851716369
LBN Legal business name BEACON OF LIGHT FAMILY CHIROPRACTIC, PLLC
Authorized official JASON TAYLOR - (OWNER/CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/20/2014
Last updated 06/10/2025 - About 12 months ago
Identifiers
KY License # 4890
KY License # 4914
KY Medicaid 7100183000
KY Medicaid 7100187940
KY Other 1245046457 NPI
KY Other 1538686134 NPI
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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