Organization
MARQUEZ INC
Active
Other names
Brownsboro Road Chiropracitic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN KEITH MARQUEZ D.C. (OWNER)
(502) 327-6000
Entity
Organization
Contact information
Practice address
9811 BROWNSBORO RD, LOUISVILLE, KY 40241-5230
(502) 327-6000
(502) 327-6009
Mailing address
9811 BROWNSBORO RD, LOUISVILLE, KY 40241-5230
(502) 327-6000
(502) 327-6009
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4785
KY
111NI0013X
Independent Medical Examiner Chiropractor
4785
KY
111NR0200X
Radiology Chiropractor
4785
KY
111NR0400X
Rehabilitation Chiropractor
4785
KY
111NX0100X
Occupational Health Chiropractor
4785
KY
171M00000X
Case Manager/Care Coordinator
4785
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
373245100
PASSPORT ADVANTAGE
KY
01
—
50025342
PASSPORT
KY
05
—
85003135
—
KY
01
—
DQ2134
RAILROAD MEDICARE PTAN
KY
Enumeration date
04/02/2009
Last updated
03/14/2011
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