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NPI Code Detail

MEDICARE: DR. BING G CROSBY D.C.

MEDICARE:  DR. BING G CROSBY  D.C.
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
1111N00000XChiropractor3133-RKY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000052061OTHERKYANTHEM BCBS

General Provider Information

NPI Number : 1639172307
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BING G CROSBY D.C.
Provider Business Mailing Address
First Line : 4508 OUTER LOOP
Second Line :
City : LOUISVILLE
State : KY
Zip : 40219-3857
Country : US
Telephone Number : 502-969-3121
Fax Number : 502-969-4570
Provider Business Practice Location Address
First Line : 4508 OUTER LOOP
Second Line :
City : LOUISVILLE
State : KY
Zip : 40219-3857
Country : US
Telephone Number : 502-969-3121
Fax Number : 502-969-4570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 12/10/2014

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Directions to “ DR. BING G CROSBY D.C.” Practice Location

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