Provider Demographics
NPI:1841949278
Name:NEW BEGINNINGS CHIROPRACTIC OF LONDON PLLC
Entity type:Organization
Organization Name:NEW BEGINNINGS CHIROPRACTIC OF LONDON PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CALLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHORT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-239-0022
Mailing Address - Street 1:PO BOX 2257
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40423-2257
Mailing Address - Country:US
Mailing Address - Phone:859-408-5440
Mailing Address - Fax:859-239-0044
Practice Address - Street 1:300 CARRERA DR
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40741-6303
Practice Address - Country:US
Practice Address - Phone:859-408-5440
Practice Address - Fax:859-239-0044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-22
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty