MEDICARE: ACS INSTITUTE-CHIROPRACTIC 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	111NX0100X	Occupational Health Chiropractor

General Provider Information

NPI Number	:	1255119699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACS INSTITUTE-CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	12014 SPRINGMEADOW LN
Second Line	:
City	:	GOSHEN
State	:	KY
Zip	:	40026-9530
Country	:	US
Telephone Number	:	502-671-9006
Fax Number	:

Provider Business Practice Location Address
First Line	:	4200 BISHOP LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40218-4558
Country	:	US
Telephone Number	:	502-671-9006
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. LARRY ANTHONY SEARS
Credential	:	DC
Telephone Number	:	502-671-9006

Provider Enumeration Date	:	09/18/2023
Last Update Date	:	09/18/2023

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