Provider Demographics
NPI:1881642429
Name:EPSTEIN, ERIC CHARLES (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:CHARLES
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1810 BROWNSBORO RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-2112
Mailing Address - Country:US
Mailing Address - Phone:502-893-7227
Mailing Address - Fax:502-368-2308
Practice Address - Street 1:1810 BROWNSBORO RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-2112
Practice Address - Country:US
Practice Address - Phone:502-893-7227
Practice Address - Fax:502-368-2308
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4382111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYU66433Medicare UPIN
KY6077501Medicare ID - Type Unspecified