Provider Demographics
NPI:1508096272
Name:ERLANGER CHIROPRACTIC, PSC
Entity Type:Organization
Organization Name:ERLANGER CHIROPRACTIC, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCI
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-342-4444
Mailing Address - Street 1:4224 DIXIE HWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ERLANGER
Mailing Address - State:KY
Mailing Address - Zip Code:41018-4032
Mailing Address - Country:US
Mailing Address - Phone:859-342-4444
Mailing Address - Fax:859-342-4209
Practice Address - Street 1:4224 DIXIE HWY
Practice Address - Street 2:SUITE 300
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41018-4032
Practice Address - Country:US
Practice Address - Phone:859-342-4444
Practice Address - Fax:859-342-4209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-16
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty