Individual
DR. CHARLES M GLADSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3333 BARDSTOWN RD, SUITE 11, LOUISVILLE, KY 40218-4613
(502) 451-9050
(502) 451-9979
Mailing address
3333 BARDSTOWN RD, SUITE 11, LOUISVILLE, KY 40218-4613
(502) 451-9050
(502) 451-9979
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4279
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042787
ANTHEM BLUE CROSS PIN
KY
Enumeration date
11/14/2006
Last updated
07/08/2007
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