MEDICARE: BETTINGER CHIROPRACTIC CENTER, 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	5379	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083051882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETTINGER CHIROPRACTIC CENTER, PLLC

Provider Business Mailing Address
First Line	:	497 TUCKER DR
Second Line	:
City	:	MAYSVILLE
State	:	KY
Zip	:	41056-9111
Country	:	US
Telephone Number	:	606-759-0090
Fax Number	:	606-759-0092

Provider Business Practice Location Address
First Line	:	497 TUCKER DR
Second Line	:
City	:	MAYSVILLE
State	:	KY
Zip	:	41056-9111
Country	:	US
Telephone Number	:	606-759-0090
Fax Number	:	606-759-0092

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	SARA BETTINGER
Credential	:	DC
Telephone Number	:	606-759-0090

Provider Enumeration Date	:	06/03/2013
Last Update Date	:	05/18/2023

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