Organization
WELLNESS FAMILY CHIROPRACTIC, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THOMAS STACHURSKI V D.C. (OWNER)
(270) 825-3995
Entity
Organization
Contact information
Practice address
2720 N MAIN ST, MADISONVILLE, KY 42431-9470
(270) 825-3995
Mailing address
2720 N MAIN ST, MADISONVILLE, KY 42431-9470
(270) 825-3995
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000380972
BLUE CROSS BLUE SHIELD
KY
01
—
1229422
CHA
KY
01
—
DE3553
RAILROAD MEDICARE
KY
Enumeration date
09/30/2007
Last updated
09/30/2007
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