Provider Demographics
NPI:1033317680
Name:LOUISVILLE INJURY, MEDICAL AND CHIROPRACTIC CENTER, LLC
Entity Type:Organization
Organization Name:LOUISVILLE INJURY, MEDICAL AND CHIROPRACTIC CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:JARL
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEINMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:502-955-2050
Mailing Address - Street 1:6470 N PRESTON HWY
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40229-5407
Mailing Address - Country:US
Mailing Address - Phone:502-955-2050
Mailing Address - Fax:502-955-3101
Practice Address - Street 1:6470 N PRESTON HWY
Practice Address - Street 2:SUITE 4
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40229-5407
Practice Address - Country:US
Practice Address - Phone:502-955-2050
Practice Address - Fax:502-955-3101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Not Answered111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty
Not Answered111NT0100XChiropractic ProvidersChiropractorThermographyGroup - Multi-Specialty