MEDICARE: DR. DANNY M. MCCASLIN D.C.

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	3991	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000050248	OTHER	KY	ANTHEM BC/BS
2	44-00050	OTHER	KY	UNITED HEALTHCARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	KY 3991	OTHER	KY	WORKERS COMP

General Provider Information

NPI Number	:	1215938584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANNY M. MCCASLIN D.C.

Provider Business Mailing Address
First Line	:	966 COMMERCIAL DR
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-3402
Country	:	US
Telephone Number	:	859-625-9791
Fax Number	:	859-625-7840

Provider Business Practice Location Address
First Line	:	966 COMMERCIAL DR
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-3402
Country	:	US
Telephone Number	:	859-625-9791
Fax Number	:	859-625-7840

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	09/22/2014

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