MEDICARE: DR. ROBERT EARL EMIG 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	3703R	KY

General Provider Information

NPI Number	:	1891792792
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT EARL EMIG D.C.

Provider Business Mailing Address
First Line	:	4614 OUTER LOOP
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40219-3971
Country	:	US
Telephone Number	:	502-964-9814
Fax Number	:	502-964-3548

Provider Business Practice Location Address
First Line	:	4614 OUTER LOOP
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40219-3971
Country	:	US
Telephone Number	:	502-964-9814
Fax Number	:	502-964-3548

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	10/15/2007

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