Provider Demographics
NPI:1306308978
Name:MCNEIL CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:MCNEIL CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:MCNEIL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:502-968-7272
Mailing Address - Street 1:3101 FERN VALLEY RD STE 13
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40213-3575
Mailing Address - Country:US
Mailing Address - Phone:502-968-7272
Mailing Address - Fax:502-968-7116
Practice Address - Street 1:3101 FERN VALLEY RD STE 13
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40213-3575
Practice Address - Country:US
Practice Address - Phone:502-968-7272
Practice Address - Fax:502-968-7116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-03
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty