Organization
BACK 2 LIFE CHIROPRACTIC, PSC
Active
Other names
Bond Chiropractic, PSC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN M BOND D. C. (CHIROPRACTOR)
(502) 867-0089
Entity
Organization
Contact information
Practice address
104 LAWSON DR, SUITE 107, GEORGETOWN, KY 40324-8998
(502) 867-0089
(502) 867-0180
Mailing address
104 LAWSON DR, SUITE 107, GEORGETOWN, KY 40324-8998
(502) 867-0089
(502) 867-0180
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4716
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000227300
BLUECROSS BLUESHIELD
KY
01
—
111N0000X
TAXONOMY
KY
01
—
1196909
CHA
KY
01
—
645717
UHC
KY
01
—
7187
MEDICARE GROUP
KY
01
—
7197394
AETNA
KY
05
—
8500227
—
KY
Enumeration date
12/05/2007
Last updated
03/10/2011
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