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NPI Code Detail

MEDICARE: BACK, BODY & BEYOND CHIROPRACTIC PLLC

MEDICARE: BACK, BODY & BEYOND CHIROPRACTIC PLLC
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
1111N00000XChiropractor5113KY

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 : 1427296250
Entity Type Code : Organization
Provider Name (Legal Business Name) : BACK, BODY & BEYOND CHIROPRACTIC PLLC
Provider Business Mailing Address
First Line : PO BOX 6544
Second Line :
City : LOUISVILLE
State : KY
Zip : 40206-0544
Country : US
Telephone Number : 502-618-3745
Fax Number : 502-618-3746
Provider Business Practice Location Address
First Line : 2132 NEW MAIN ST
Second Line :
City : LOUISVILLE
State : KY
Zip : 40206-2008
Country : US
Telephone Number : 502-618-3745
Fax Number : 502-618-3746
Authorized Official
Title or Position : DOCTOR OF CHIROPRACTIC
Name : DR. STEVEN JOHN ABRO
Credential : D.C.
Telephone Number : 502-618-3745
Provider Enumeration Date : 02/02/2009
Last Update Date : 04/16/2018

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Directions to “BACK, BODY & BEYOND CHIROPRACTIC PLLC ” Practice Location

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