Provider Demographics
NPI:1649465451
Name:FALMOUTH CHIROPRACTIC CENTER PLLC
Entity type:Organization
Organization Name:FALMOUTH CHIROPRACTIC CENTER PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:W
Authorized Official - Last Name:LUKING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-654-1797
Mailing Address - Street 1:941 RIDGEWAY AVE
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:KY
Mailing Address - Zip Code:41040-1319
Mailing Address - Country:US
Mailing Address - Phone:859-654-1797
Mailing Address - Fax:859-654-3990
Practice Address - Street 1:941 RIDGEWAY AVE
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:KY
Practice Address - Zip Code:41040-1319
Practice Address - Country:US
Practice Address - Phone:859-654-1797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-14
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4706111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty