Organization
COMMONWEALTH CHIROPRACTIC CENTER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES R. SALYERS II DC (OWNER/PRESIDENT)
(606) 889-9222
Entity
Organization
Contact information
Practice address
1827 KY ROUTE 321, PRESTONSBURG, KY 41653-9102
(606) 889-9222
(606) 886-1605
Mailing address
1827 KY ROUTE 321, PRESTONSBURG, KY 41653-9102
(606) 889-9222
(606) 886-1605
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4265
KY
261QM2500X
Medical Specialty Clinic/Center
4265
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326111071
—
KY
05
—
1477556884
—
KY
05
—
85036358
—
KY
Enumeration date
11/17/2006
Last updated
06/30/2014
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