Individual
DR. ANDREW J BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9304 NEW LAGRANGE RD STE 100, LOUISVILLE, KY 40242-3671
(502) 426-4511
(502) 426-0529
Mailing address
9304 NEW LAGRANGE RD STE 100, LOUISVILLE, KY 40242-3671
(502) 426-4511
(502) 426-0529
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4617
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000211276
12 DIGIT ANTHEM PROVIDER
KY
01
—
P00077606
RR MEDICARE #
KY
01
—
TB61
ANTHEM 4 DIGIT PROVIDER
KY
Enumeration date
03/05/2007
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us