Provider Demographics
NPI:1972074615
Name:JUNIATA CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:JUNIATA CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:606-564-9900
Mailing Address - Street 1:399 W MAPLE LEAF RD
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41056-9176
Mailing Address - Country:US
Mailing Address - Phone:606-564-9900
Mailing Address - Fax:606-564-9993
Practice Address - Street 1:399 W MAPLE LEAF RD
Practice Address - Street 2:
Practice Address - City:MAYSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41056-9176
Practice Address - Country:US
Practice Address - Phone:606-564-9900
Practice Address - Fax:606-564-9993
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JUNIATA CHIROPRACTIC LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty