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NPI Code Detail

MEDICARE: A. BASTECKI CHIROPRACTIC LTD

MEDICARE: A. BASTECKI CHIROPRACTIC LTD
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
1261QM2500XMedical Specialty Clinic/Center3946KY

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 : 1376788133
Entity Type Code : Organization
Provider Name (Legal Business Name) : A. BASTECKI CHIROPRACTIC LTD
Provider Business Mailing Address
First Line : 3101 RICHMOND RD
Second Line : SUITE 202
City : LEXINGTON
State : KY
Zip : 40509-1599
Country : US
Telephone Number : 859-266-2223
Fax Number : 859-266-4926
Provider Business Practice Location Address
First Line : 3101 RICHMOND RD
Second Line : SUITE202
City : LEXINGTON
State : KY
Zip : 40509-1599
Country : US
Telephone Number : 859-266-2223
Fax Number : 859-266-4926
Authorized Official
Title or Position : OWNER
Name : DR. ANTHONY V BASTECKI
Credential : D.C.
Telephone Number : 859-266-2223
Provider Enumeration Date : 12/09/2008
Last Update Date : 12/09/2008

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