Provider Demographics
NPI:1982777330
Name:AKERS FAMILY CHIROPRACTIC INC PSC
Entity Type:Organization
Organization Name:AKERS FAMILY CHIROPRACTIC INC PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRATIC
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:CLARK
Authorized Official - Last Name:AKERS
Authorized Official - Suffix:
Authorized Official - Credentials:BS DC
Authorized Official - Phone:606-432-8395
Mailing Address - Street 1:PO BOX 1288
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41502-1288
Mailing Address - Country:US
Mailing Address - Phone:606-432-8395
Mailing Address - Fax:606-432-2088
Practice Address - Street 1:171 HIBBARD ST
Practice Address - Street 2:SUITE 1
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-1754
Practice Address - Country:US
Practice Address - Phone:606-432-8395
Practice Address - Fax:606-432-2088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4613111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1186627OtherCNA
000000189696OtherBC
KY85001311Medicaid
000000189696OtherBC
KY85001311Medicaid
KY6093301Medicare PIN