Provider Demographics
NPI:1306937149
Name:DEARINGER & KLINDT CCC PLLC
Entity type:Organization
Organization Name:DEARINGER & KLINDT CCC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:BEAMAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:DEARINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:502-348-3202
Mailing Address - Street 1:107 NORTH 5TH STREET
Mailing Address - Street 2:
Mailing Address - City:BARDSTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40004
Mailing Address - Country:US
Mailing Address - Phone:502-348-3202
Mailing Address - Fax:502-348-0321
Practice Address - Street 1:107 NORTH 5TH STREET
Practice Address - Street 2:
Practice Address - City:BARDSTOWN
Practice Address - State:KY
Practice Address - Zip Code:40004
Practice Address - Country:US
Practice Address - Phone:502-348-3202
Practice Address - Fax:502-348-0321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
8784Medicare ID - Type Unspecified