Organization Name: | PRIMARY CARE CHIROPRACTIC, PSC |
NPI Number: | 1104962596 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL RICHARD FARR (PRESIDENT) |
Mailing Address: | 1011 Paris Rd Ste 341 Mayfield |
State: | KY US |
Postal Code: | 420663306 |
Phone Number: | 2702510907 |
Fax Number: | 2702510908 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 10/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 4685 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |