Organization
JEFFERSONTOWN CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A BECKING (TREASURER)
(970) 214-2360
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10654338786
HUMANA
KY
01
—
3141631
CIGNA
KY
05
—
50020127
—
KY
01
—
586259
ANTHEM
KY
01
—
9271191
AETNA
KY
Enumeration date
12/15/2008
Last updated
07/06/2009
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