Provider Demographics
NPI:1154363562
Name:CYNTHIANA CHIROPRACTIC CENTER PLLC
Entity type:Organization
Organization Name:CYNTHIANA CHIROPRACTIC CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:SCHULZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-508-3200
Mailing Address - Street 1:1050 US HIGHWAY 27 S
Mailing Address - Street 2:#1
Mailing Address - City:CYNTHIANA
Mailing Address - State:KY
Mailing Address - Zip Code:41031-5997
Mailing Address - Country:US
Mailing Address - Phone:859-508-3200
Mailing Address - Fax:859-508-3201
Practice Address - Street 1:1050 US HIGHWAY 27 S
Practice Address - Street 2:#1
Practice Address - City:CYNTHIANA
Practice Address - State:KY
Practice Address - Zip Code:41031-5997
Practice Address - Country:US
Practice Address - Phone:859-508-3200
Practice Address - Fax:859-508-3201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4703111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY6094511OtherMEDICARE
KY85002798Medicaid
KYU90958Medicare UPIN