Provider Demographics
NPI:1922439900
Name:FRANKFORT CHIROPRACTIC CENTER EAST PLLC
Entity Type:Organization
Organization Name:FRANKFORT CHIROPRACTIC CENTER EAST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:W
Authorized Official - Last Name:LUKING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:502-875-3200
Mailing Address - Street 1:201 BRIGHTON PARK BLVD.
Mailing Address - Street 2:STE. 4
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-8447
Mailing Address - Country:US
Mailing Address - Phone:502-695-4455
Mailing Address - Fax:502-695-0727
Practice Address - Street 1:201 BRIGHTON PARK BLVD.
Practice Address - Street 2:STE. 4
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-8447
Practice Address - Country:US
Practice Address - Phone:502-695-4455
Practice Address - Fax:502-695-0727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-02
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4706111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty