Provider Demographics
NPI:1043455041
Name:A PLUS CHIROPRACTIC CENTER, P.S.C.
Entity type:Organization
Organization Name:A PLUS CHIROPRACTIC CENTER, P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:R
Authorized Official - Last Name:KRAWCHISON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-580-0131
Mailing Address - Street 1:4107 TAYLOR BLVD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40215-2371
Mailing Address - Country:US
Mailing Address - Phone:502-364-7246
Mailing Address - Fax:
Practice Address - Street 1:4107 TAYLOR BLVD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40215-2371
Practice Address - Country:US
Practice Address - Phone:812-580-0131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-05
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100077270Medicaid
KY00947Medicare PIN