Provider Demographics
NPI:1235533944
Name:CHIROPRACTIC SOLUTIONS PLLC
Entity Type:Organization
Organization Name:CHIROPRACTIC SOLUTIONS PLLC
Other - Org Name:SKYE CHIROPRACTIC AT BARDSTOWN ROAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:T
Authorized Official - Last Name:PERKS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:502-454-4441
Mailing Address - Street 1:2107 WEBER AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40205-2110
Mailing Address - Country:US
Mailing Address - Phone:502-454-4441
Mailing Address - Fax:
Practice Address - Street 1:2107 WEBER AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-2110
Practice Address - Country:US
Practice Address - Phone:502-454-4441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-09
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYK176370Medicare PIN