Provider Demographics
NPI:1659552032
Name:SIPPLE & SIPPLE CHIROPRACTIC
Entity Type:Organization
Organization Name:SIPPLE & SIPPLE CHIROPRACTIC
Other - Org Name:SIPPLE'S CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCWHORTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-986-4883
Mailing Address - Street 1:502 RICHMOND RD N
Mailing Address - Street 2:
Mailing Address - City:BEREA
Mailing Address - State:KY
Mailing Address - Zip Code:40403-1151
Mailing Address - Country:US
Mailing Address - Phone:859-986-4883
Mailing Address - Fax:859-986-2197
Practice Address - Street 1:502 RICHMOND RD N
Practice Address - Street 2:
Practice Address - City:BEREA
Practice Address - State:KY
Practice Address - Zip Code:40403-1151
Practice Address - Country:US
Practice Address - Phone:859-986-4883
Practice Address - Fax:859-986-2197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4487111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY6726Medicare PIN