Organization
JEFFERSONTOWN CHIROPRACTIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG WILLIAM PFEFFER DC (PRESIDENT OWNER)
(502) 267-6444
Entity
Organization
Contact information
Practice address
10131 TAYLORSVILLE RD, JEFFERSONTOWN, KY 40299-3649
(502) 267-6444
(502) 267-6445
Mailing address
10131 TAYLORSVILLE RD, JEFFERSONTOWN, KY 40299-3649
(502) 267-6444
(502) 267-6445
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3812
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000069294
ANTHEM
KY
01
—
1116809
PASSPORT
KY
05
—
85036549
—
KY
Enumeration date
05/03/2006
Last updated
07/27/2007
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