MEDICARE: JULIE ANN MARTIN CHIROPRACTIC AND REHABILITATION, INC.

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	363L00000X	Nurse Practitioner
2	111N00000X	Chiropractor

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	:	1134523905
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JULIE ANN MARTIN CHIROPRACTIC AND REHABILITATION, INC.

Provider Business Mailing Address
First Line	:	2909 RICHMOND RD
Second Line	:	STE. 120
City	:	LEXINGTON
State	:	KY
Zip	:	40509-1764
Country	:	US
Telephone Number	:	859-268-2273
Fax Number	:	859-266-0478

Provider Business Practice Location Address
First Line	:	2909 RICHMOND RD
Second Line	:	STE. 120
City	:	LEXINGTON
State	:	KY
Zip	:	40509-1764
Country	:	US
Telephone Number	:	859-268-2273
Fax Number	:	859-266-0478

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JULIE ANN MARTIN
Credential	:	DC
Telephone Number	:	859-268-2273

Provider Enumeration Date	:	10/22/2014
Last Update Date	:	10/22/2014

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