Healthcare Provider Details

I. General information

NPI: 1598968968
Provider Name (Legal Business Name): JOHN G ERSKINE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1136 US 31W BYP
BOWLING GREEN KY
42101-2420
US

IV. Provider business mailing address

1136 US 31W BYP
BOWLING GREEN KY
42101-2420
US

V. Phone/Fax

Practice location:
  • Phone: 270-843-2255
  • Fax: 270-782-2822
Mailing address:
  • Phone: 270-843-2255
  • Fax: 270-782-2822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3742
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: