Individual
JOHN CHRISTOPHER SIPPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
502 RICHMOND RD N STE A, BEREA, KY 40403-1151
(859) 986-0007
(859) 986-9007
Mailing address
502 RICHMOND RD N, SUITE A, BEREA, KY 40403-1151
(859) 986-0007
(859) 986-9007
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4487
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100143650
—
KY
01
—
P100019681
MEDICARE PTAN
KY
Enumeration date
06/28/2006
Last updated
06/27/2011
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