Provider Demographics
NPI:1497019434
Name:HARLAN COUNTY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:HARLAN COUNTY CHIROPRACTIC LLC
Other - Org Name:HARLAN COUNTY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SLUSHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:606-271-9195
Mailing Address - Street 1:99 EULA GRAY ST
Mailing Address - Street 2:STE 19
Mailing Address - City:HARLAN
Mailing Address - State:KY
Mailing Address - Zip Code:40831-1772
Mailing Address - Country:US
Mailing Address - Phone:606-573-5010
Mailing Address - Fax:
Practice Address - Street 1:99 EULA GRAY ST
Practice Address - Street 2:STE 19
Practice Address - City:HARLAN
Practice Address - State:KY
Practice Address - Zip Code:40831-1772
Practice Address - Country:US
Practice Address - Phone:606-573-5010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5345111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty