Organization
MICHAEL GRASS
Active
Other names
Valley Station Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GRASS (DOCTOR OF CHIROPRACTIC)
(502) 254-3442
Entity
Organization
Contact information
Practice address
10400 DIXIE HWY, SUITE 101, LOUISVILLE, KY 40272-3954
(502) 933-2005
(502) 933-2074
Mailing address
10400 DIXIE HWY, SUITE 101, LOUISVILLE, KY 40272-3954
(502) 933-2005
(502) 933-2074
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4228
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000050878
ANTHEM BCBS PROVIDER PIN
KY
01
—
1076868
PASSPORT
KY
01
—
2441187000
PASSPORT ADVANTAGE
KY
05
—
8503666300
—
KY
Enumeration date
02/28/2007
Last updated
06/25/2008
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