Provider Demographics
NPI:1003510587
Name:CORE HEALTH CENTERS OF MIDDLETOWN LLC
Entity Type:Organization
Organization Name:CORE HEALTH CENTERS OF MIDDLETOWN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - DC
Authorized Official - Prefix:
Authorized Official - First Name:JEREMIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-203-5100
Mailing Address - Street 1:727 SPECKMAN RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40243-1876
Mailing Address - Country:US
Mailing Address - Phone:606-831-4432
Mailing Address - Fax:502-205-2004
Practice Address - Street 1:727 SPECKMAN RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40243-1876
Practice Address - Country:US
Practice Address - Phone:606-831-4432
Practice Address - Fax:502-205-2004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-28
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty