Provider Demographics
NPI:1952440513
Name:LINTON SPINE & JOINT CENTER, LLC
Entity Type:Organization
Organization Name:LINTON SPINE & JOINT CENTER, LLC
Other - Org Name:LINTON CHIROPRACTIC LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:LINTON
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:859-499-1009
Mailing Address - Street 1:107 BRANDON WAY
Mailing Address - Street 2:
Mailing Address - City:MT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-8500
Mailing Address - Country:US
Mailing Address - Phone:859-499-1009
Mailing Address - Fax:859-499-1016
Practice Address - Street 1:107 BRANDON WAY
Practice Address - Street 2:
Practice Address - City:MT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-8500
Practice Address - Country:US
Practice Address - Phone:859-499-1009
Practice Address - Fax:859-499-1016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100163970Medicaid
KYK002371OtherMEDICARE PTAN
KY7100163970Medicaid