Provider Demographics
NPI:1699552240
Name:CORE CHIROPRACTIC INC
Entity type:Organization
Organization Name:CORE CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:HARDING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:502-896-5669
Mailing Address - Street 1:100 ENVOY CIR STE 101
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-1807
Mailing Address - Country:US
Mailing Address - Phone:502-896-5669
Mailing Address - Fax:502-896-5664
Practice Address - Street 1:100 ENVOY CIR STE 101
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-1807
Practice Address - Country:US
Practice Address - Phone:502-896-5669
Practice Address - Fax:502-896-5664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty