Provider Demographics
NPI:1205074978
Name:FOLK, CHAD ALAN (DC, CCEP, CCSP)
Entity type:Individual
Prefix:DR
First Name:CHAD
Middle Name:ALAN
Last Name:FOLK
Suffix:
Gender:M
Credentials:DC, CCEP, CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2050
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42102-2050
Mailing Address - Country:US
Mailing Address - Phone:270-783-4500
Mailing Address - Fax:270-904-1771
Practice Address - Street 1:427 US 31W BYP STE 203
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42101-1703
Practice Address - Country:US
Practice Address - Phone:270-783-4500
Practice Address - Fax:270-904-1771
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-03
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY249326111N00000X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100162070Medicaid
KY7100338130Medicaid