Provider Demographics
NPI:1447475538
Name:ACTION CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:ACTION CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GRANT
Authorized Official - Middle Name:WARD
Authorized Official - Last Name:LINDSAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-278-5800
Mailing Address - Street 1:2417 NICHOLASVILLE RD
Mailing Address - Street 2:114
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-3178
Mailing Address - Country:US
Mailing Address - Phone:859-278-5800
Mailing Address - Fax:859-278-8102
Practice Address - Street 1:2417 NICHOLASVILLE RD
Practice Address - Street 2:STE 114
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-3178
Practice Address - Country:US
Practice Address - Phone:859-278-5800
Practice Address - Fax:859-278-8102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4099111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY9169164OtherCIGNA
KY607447OtherACN
KY000000512247OtherBCBS
KY10804636OtherCAQH
KY85040996Medicaid
KY440000-7OtherUNITED HEALTHCARE
KY000000512247OtherBCBS