MEDICARE: BETTER HEALTH ENTERPRISES LLC

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	4877	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
2	11443227	OTHER	KY	CAQH

General Provider Information

NPI Number	:	1083739312
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETTER HEALTH ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	915 BAXTER AVE
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40204-2406
Country	:	US
Telephone Number	:	502-895-6992
Fax Number	:	502-895-6888

Provider Business Practice Location Address
First Line	:	915 BAXTER AVE
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40204-2406
Country	:	US
Telephone Number	:	502-895-6992
Fax Number	:	502-895-6888

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. RICHARD DAVID LORENAT
Credential	:	D.C.
Telephone Number	:	502-895-6992

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	09/10/2012

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Directions to “BETTER HEALTH ENTERPRISES LLC ” Practice Location

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