Individual
DR. DEVIN J THAUBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8511 PRESTON HWY, LOUISVILLE, KY 40219-5301
(502) 969-7246
(502) 961-0392
Mailing address
11311 WOODED BRANCH LN, LOUISVILLE, KY 40291-3599
(502) 500-7068
(502) 961-0392
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4782
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0983801
MEDICARE ID-TYPE SPECIFIED
KY
Enumeration date
10/02/2006
Last updated
08/26/2011
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