Healthcare Provider Details

I. General information

NPI: 1306923909
Provider Name (Legal Business Name): SHEILA LYNN BOWLING-HERALD D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 06/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2515 ALEXANDRIA PIKE
HIGHLAND HEIGHTS KY
41076
US

IV. Provider business mailing address

2515 ALEXANDRIA PIKE
HIGHLAND HEIGHTS KY
41076-1317
US

V. Phone/Fax

Practice location:
  • Phone: 859-781-1000
  • Fax: 859-572-0244
Mailing address:
  • Phone: 859-781-1000
  • Fax: 859-572-0244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4419
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number4419
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: