Provider Demographics
NPI:1205267168
Name:CHIROWORKS ALT. PAIN & REHAB, LLC
Entity type:Organization
Organization Name:CHIROWORKS ALT. PAIN & REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:KIRBY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-543-0252
Mailing Address - Street 1:1412 N BROADWAY
Mailing Address - Street 2:SUITE 206
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40505-3157
Mailing Address - Country:US
Mailing Address - Phone:859-543-0252
Mailing Address - Fax:859-543-0698
Practice Address - Street 1:1412 N BROADWAY
Practice Address - Street 2:SUITE 206
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40505-3157
Practice Address - Country:US
Practice Address - Phone:859-543-0252
Practice Address - Fax:859-543-0698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-03
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCU90390Medicare UPIN