Healthcare Provider Details
I. General information
NPI: 1922336213
Provider Name (Legal Business Name): N EIGHT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/24/2009
Last Update Date: 01/29/2020
Certification Date: 01/29/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
427 31-W BYPASS SUITE 203
BOWLING GREEN KY
42101-1703
US
IV. Provider business mailing address
PO BOX 2050
BOWLING GREEN KY
42102-2050
US
V. Phone/Fax
- Phone: 270-783-5000
- Fax: 270-904-1771
- Phone: 270-783-5000
- Fax: 270-904-1771
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NS0005X |
| Taxonomy | Sports Physician Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CHAD
ALAN
FOLK
Title or Position: OWNER
Credential: D.C.
Phone: 270-783-4500