Organization
SOUTHGATE CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER CHRISTOPHER JONES D.C. (OWNER/CHIROPRACTOR)
(859) 572-0029
Entity
Organization
Contact information
Practice address
2306 ALEXANDRIA PIKE, SOUTHGATE, KY 41071-3234
(859) 572-0029
(859) 572-0263
Mailing address
2306 ALEXANDRIA PIKE, SOUTHGATE, KY 41071-3234
(859) 572-0029
(859) 572-0263
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4453
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40076493500
OHIO BWC
OH
05
—
85001436
—
KY
Enumeration date
04/30/2008
Last updated
05/22/2008
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