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NPI Code Detail

MEDICARE: JEFFRIES CHIROPRACTIC, PSC

MEDICARE: JEFFRIES CHIROPRACTIC, PSC
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
1111N00000XChiropractor4482KY

Other Identifiers

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

General Provider Information

NPI Number : 1174706972
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEFFRIES CHIROPRACTIC, PSC
Provider Business Mailing Address
First Line : 127 ORCHARD DR
Second Line :
City : NICHOLASVILLE
State : KY
Zip : 40356-2690
Country : US
Telephone Number : 859-887-4900
Fax Number : 859-887-4995
Provider Business Practice Location Address
First Line : 127 ORCHARD DR
Second Line :
City : NICHOLASVILLE
State : KY
Zip : 40356-2690
Country : US
Telephone Number : 859-887-4900
Fax Number : 859-887-4995
Authorized Official
Title or Position : OWNER
Name : JOSEPH M. JEFFRIES
Credential : D.C.
Telephone Number : 859-887-4900
Provider Enumeration Date : 12/14/2007
Last Update Date : 03/25/2014

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