Provider Demographics
NPI:1851831085
Name:LAUB CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:LAUB CHIROPRACTIC LLC
Other - Org Name:ALLIEVA CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:LAUB
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-584-5167
Mailing Address - Street 1:713 SCOTT ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41011-2417
Mailing Address - Country:US
Mailing Address - Phone:859-291-0333
Mailing Address - Fax:859-291-0033
Practice Address - Street 1:713 SCOTT ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41011-2417
Practice Address - Country:US
Practice Address - Phone:859-291-0333
Practice Address - Fax:859-291-0033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-07
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5446111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty