Provider Demographics
NPI:1972709251
Name:ELMER F TRUE DC PSC
Entity Type:Organization
Organization Name:ELMER F TRUE DC PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VANCE
Authorized Official - Middle Name:NELSON
Authorized Official - Last Name:TRUE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-236-6994
Mailing Address - Street 1:PO BOX 931
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40423-0931
Mailing Address - Country:US
Mailing Address - Phone:859-236-6994
Mailing Address - Fax:859-236-0855
Practice Address - Street 1:100 BRENDA AVENUE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422-0931
Practice Address - Country:US
Practice Address - Phone:859-236-6994
Practice Address - Fax:859-236-0855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY85000230Medicaid
KY000000045598OtherBLUE CROSS BLUE SHIELD
KYC10435OtherMEDICARE RAILROAD
KY0402Medicare PIN
KYC10435OtherMEDICARE RAILROAD