Provider Demographics
NPI:1083739312
Name:BETTER HEALTH ENTERPRISES LLC
Entity Type:Organization
Organization Name:BETTER HEALTH ENTERPRISES LLC
Other - Org Name:CHIROPRACTIC WORX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:LORENAT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:502-895-6992
Mailing Address - Street 1:915 BAXTER AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40204-2406
Mailing Address - Country:US
Mailing Address - Phone:502-895-6992
Mailing Address - Fax:502-895-6888
Practice Address - Street 1:915 BAXTER AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40204-2406
Practice Address - Country:US
Practice Address - Phone:502-895-6992
Practice Address - Fax:502-895-6888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4877111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY85003937Medicaid
KY11443227OtherCAQH
KY052941027Medicare ID - Type Unspecified