Organization
ABC FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN DEWIRE DC (OWNER OPERATOR)
(606) 788-0015
Entity
Organization
Contact information
Practice address
705 BROADWAY ST, PAINTSVILLE, KY 41240-1513
(606) 788-0015
(606) 788-0015
Mailing address
PO BOX 708, 705 BROADWAY, PAINTSVILLE, KY 41240-0708
(606) 788-0015
(606) 788-0015
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4591
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85000552
—
KY
Enumeration date
04/03/2007
Last updated
04/05/2012
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