Provider Demographics
NPI:1477029304
Name:BUTTERMILK CHIROPRACTIC CENTER OF CRESCENT SPRINGS, P.S.C.
Entity Type:Organization
Organization Name:BUTTERMILK CHIROPRACTIC CENTER OF CRESCENT SPRINGS, P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MERLE
Authorized Official - Middle Name:C
Authorized Official - Last Name:HELGESON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-331-1111
Mailing Address - Street 1:570 BUTTERMILK PIKE
Mailing Address - Street 2:
Mailing Address - City:CRESCENT SPRINGS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-1635
Mailing Address - Country:US
Mailing Address - Phone:859-331-1111
Mailing Address - Fax:859-331-1661
Practice Address - Street 1:570 BUTTERMILK PIKE
Practice Address - Street 2:
Practice Address - City:CRESCENT SPRINGS
Practice Address - State:KY
Practice Address - Zip Code:41017-1635
Practice Address - Country:US
Practice Address - Phone:859-331-1111
Practice Address - Fax:859-331-1661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-18
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty