Provider Demographics
NPI:1982668356
Name:GRALHEER, SCOTT A (DC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:A
Last Name:GRALHEER
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 1:404 LEXINGTON RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:VERSAILLES
Mailing Address - State:KY
Mailing Address - Zip Code:40383-1626
Mailing Address - Country:US
Mailing Address - Phone:859-873-0410
Mailing Address - Fax:859-873-0410
Practice Address - Street 1:404 LEXINGTON RD
Practice Address - Street 2:SUITE 102
Practice Address - City:VERSAILLES
Practice Address - State:KY
Practice Address - Zip Code:40383-1626
Practice Address - Country:US
Practice Address - Phone:859-873-0410
Practice Address - Fax:859-873-0410
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-13
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3874111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY44-00087OtherUNITED HEALTHCARE
KS000000075032OtherBLUE CROSS & BLUE SHIELD
KY2037OtherCHA HEALTH
KY607551OtherACN
KY607551OtherACN
KYT54507Medicare UPIN