Provider Demographics
NPI:1598968968
Name:ERSKINE, JOHN G (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:G
Last Name:ERSKINE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1136 US 31W BYP
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42101-2420
Mailing Address - Country:US
Mailing Address - Phone:270-843-2255
Mailing Address - Fax:270-782-2822
Practice Address - Street 1:1136 US 31W BYP
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-2420
Practice Address - Country:US
Practice Address - Phone:270-843-2255
Practice Address - Fax:270-782-2822
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3742111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000051365OtherANTHEM BLUE CROSS BLUE SH
KY000000051365OtherANTHEM BLUE CROSS BLUE SH
KYT54431Medicare UPIN