Organization
TANK CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J TANK DC (OWNER)
(270) 651-2203
Entity
Organization
Contact information
Practice address
215 N L ROGERS WELLS BLVD, GLASGOW, KY 42141
(270) 651-2203
(270) 651-7543
Mailing address
215 N L ROGERS WELLS BLVD, GLASGOW, KY 42141
(270) 651-2203
(270) 651-7543
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4608
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000316920
ANTHEM
—
05
—
8500116200
—
KY
Enumeration date
03/31/2008
Last updated
12/14/2011
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