MEDICARE: NEW BEGINNINGS CHIROPRACTIC OF GEORGETOWN PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1568194850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW BEGINNINGS CHIROPRACTIC OF GEORGETOWN PLLC

Provider Business Mailing Address
First Line	:	PO BOX 2257
Second Line	:
City	:	DANVILLE
State	:	KY
Zip	:	40423-2257
Country	:	US
Telephone Number	:	859-374-1479
Fax Number	:	859-239-0044

Provider Business Practice Location Address
First Line	:	3107 CINCINNATI RD
Second Line	:
City	:	GEORGETOWN
State	:	KY
Zip	:	40324-9505
Country	:	US
Telephone Number	:	859-374-1479
Fax Number	:	859-239-0044

Authorized Official
Title or Position	:	OWNER
Name	:	CALLIE SHORT
Credential	:	DC
Telephone Number	:	859-239-0022

Provider Enumeration Date	:	06/27/2022
Last Update Date	:	10/06/2022

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