Provider Demographics
NPI:1992194229
Name:AHC GRAYSON CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:AHC GRAYSON CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:ONEIL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:606-475-0000
Mailing Address - Street 1:186 INTERSTATE DR
Mailing Address - Street 2:
Mailing Address - City:GRAYSON
Mailing Address - State:KY
Mailing Address - Zip Code:41143-1787
Mailing Address - Country:US
Mailing Address - Phone:606-475-0000
Mailing Address - Fax:606-474-0954
Practice Address - Street 1:186 INTERSTATE DR
Practice Address - Street 2:
Practice Address - City:GRAYSON
Practice Address - State:KY
Practice Address - Zip Code:41143-1787
Practice Address - Country:US
Practice Address - Phone:606-475-0000
Practice Address - Fax:606-474-0954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-09
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty