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Organization

SHELBY COUNTY CHIROPRACTIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES P STAPLETON DC (OWNER)
(502) 633-1073
Entity
Organization

Contact information

Practice address
1713 MIDLAND TRL, SHELBYVILLE, KY 40065-1711
(502) 633-1073
(502) 633-4424
Mailing address
1713 MIDLAND TRL, SHELBYVILLE, KY 40065-1711
(502) 633-1073
(502) 633-4424

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4810
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6322600001
MEDICARE NSC
KY
05
85003036
KY
Enumeration date
10/04/2006
Last updated
12/18/2012
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