Provider Demographics
NPI:1720360126
Name:CAREY CHIROPRACTIC AND REHABILITATION CENTER, INC
Entity Type:Organization
Organization Name:CAREY CHIROPRACTIC AND REHABILITATION CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-886-7878
Mailing Address - Street 1:PO BOX 489
Mailing Address - Street 2:
Mailing Address - City:PROCTORVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45669-0489
Mailing Address - Country:US
Mailing Address - Phone:740-886-7878
Mailing Address - Fax:740-886-1609
Practice Address - Street 1:974 DIEDERICH BLVD
Practice Address - Street 2:
Practice Address - City:RUSSELL
Practice Address - State:KY
Practice Address - Zip Code:41169-1824
Practice Address - Country:US
Practice Address - Phone:740-886-7878
Practice Address - Fax:740-886-1609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4242111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty