Organization
BOWLING GREEN FAMILY CHIROPRACTIC PLLC
Active
Other names
Bowling Green Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
TOSHA MCCORMACK (COMPLIANCE OFFICER)
(859) 408-5440
Entity
Organization
Contact information
Practice address
651 US 31W BYP STE 202, BOWLING GREEN, KY 42101-4977
(270) 904-1837
(270) 904-6394
Mailing address
651 US 31W BYP STE 202, BOWLING GREEN, KY 42101-4977
(270) 904-1837
(270) 904-6394
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100583510
—
KY
Enumeration date
12/04/2017
Last updated
10/06/2022
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