MEDICARE: ANTHONY CHASE CHIROPRACTIC, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	4999	KY

General Provider Information

NPI Number	:	1013229525
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANTHONY CHASE CHIROPRACTIC, PLLC

Provider Business Mailing Address
First Line	:	6013 PRESTON HWY
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40219-1317
Country	:	US
Telephone Number	:	502-777-9015
Fax Number	:

Provider Business Practice Location Address
First Line	:	6013 PRESTON HWY
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40219-1317
Country	:	US
Telephone Number	:	502-777-9015
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. L. ANTHONY SEARS
Credential	:	D.C.
Telephone Number	:	502-777-9015

Provider Enumeration Date	:	07/13/2010
Last Update Date	:	07/13/2010

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