<Unavail>

LBN: Bradley A. Tack P.S.C.
<Unavail> is an health care organization with primary practice located at 5131 Us Highway 62 , Calvert City KY 42029-8390. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Bradley A. Tack P.S.C. can be contacted via phone (270) 395-4540, or through Tack, Bradley A. via phone (270) 395-4540.

Contact Information

Primary practice address
5131 Us Highway 62 Calvert City KY 42029-8390
Phone: (270) 395-4540
Fax: (270) 395-7715
Website:
Map and Directions
Authorized official contact:
Name: Tack, Bradley A. Doctor of Chiropractic (DC)
Phone: (270) 395-4540

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1003969460
LBN Legal business name Bradley A. Tack P.S.C.
DBA Doing business as <Unavail>
Authorized official Tack, Bradley A. Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003969460 NPPES
Kentucky MEDICAID 85900181

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