Healthcare Provider Details

I. General information

NPI: 1376502443
Provider Name (Legal Business Name): AMERICARE CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 S MAIN ST
DRY RIDGE KY
41035-7235
US

IV. Provider business mailing address

68 S MAIN ST
DRY RIDGE KY
41035-7235
US

V. Phone/Fax

Practice location:
  • Phone: 859-823-0885
  • Fax: 859-823-0884
Mailing address:
  • Phone: 859-823-0885
  • Fax: 859-823-0884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JAYSON LEVINE
Title or Position: PARTNER
Credential: D.C.
Phone: 859-823-0885