Provider Demographics
NPI:1780792150
Name:BITZ, SIMON PETER (DC)
Entity type:Individual
Prefix:DR
First Name:SIMON
Middle Name:PETER
Last Name:BITZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 MARSAILLES RD
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:KY
Mailing Address - Zip Code:40383-1911
Mailing Address - Country:US
Mailing Address - Phone:859-568-5700
Mailing Address - Fax:859-568-5510
Practice Address - Street 1:511 MARSAILLES RD
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:KY
Practice Address - Zip Code:40383-1911
Practice Address - Country:US
Practice Address - Phone:859-568-5700
Practice Address - Fax:859-568-5510
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-27
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4978111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor