Provider Demographics
NPI:1720256894
Name:NEWPORT CHIROPRACTIC CENTER PSC
Entity Type:Organization
Organization Name:NEWPORT CHIROPRACTIC CENTER PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:ALMOND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-581-0949
Mailing Address - Street 1:52 CAROTHERS RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:KY
Mailing Address - Zip Code:41071-2456
Mailing Address - Country:US
Mailing Address - Phone:859-581-0949
Mailing Address - Fax:859-581-1387
Practice Address - Street 1:52 CAROTHERS RD
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:KY
Practice Address - Zip Code:41071-2456
Practice Address - Country:US
Practice Address - Phone:859-581-0949
Practice Address - Fax:859-581-1387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5102111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty