Healthcare Provider Details

I. General information

NPI: 1235365040
Provider Name (Legal Business Name): MCWHORTER CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2009
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SCOTTSVILLE RD STE 202
BOWLING GREEN KY
42104-3217
US

IV. Provider business mailing address

1600 SCOTTSVILLE RD STE 202
BOWLING GREEN KY
42104-3217
US

V. Phone/Fax

Practice location:
  • Phone: 270-904-4111
  • Fax: 270-904-3333
Mailing address:
  • Phone: 270-904-4111
  • Fax: 270-904-3333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5186
License Number StateKY

VIII. Authorized Official

Name: DR. JEREMY C MCWHORTER
Title or Position: SOLE MEMBER
Credential: D.C.
Phone: 270-843-2255