Organization
CRACKERBACK, INC
Active
Other names
Family Care Chiropractic, Hillview
Organization subpart
No
Provider details
NPI number
Authorized official
RODRICK C HAHN D.C. (PRESIDENT)
(502) 957-1021
Entity
Organization
Contact information
Practice address
1679 OLD PRESTON HWY N, SUITE 6, LOUISVILLE, KY 40229-3297
(502) 957-1021
(502) 957-1703
Mailing address
1679 OLD PRESTON HWY N, SUITE 6, LOUISVILLE, KY 40229-3297
(502) 957-1021
(502) 957-1703
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4365
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8907
MEDICARE GROUP
KY
01
—
DC2130
RAILROAD MEDICARE GROUP
KY
Enumeration date
03/04/2008
Last updated
03/04/2008
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