Provider Demographics
NPI:1174692826
Name:ADRIAN NOHR DC, PSC
Entity type:Organization
Organization Name:ADRIAN NOHR DC, PSC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:NOHR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:270-765-2244
Mailing Address - Street 1:2626 RING RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-9118
Mailing Address - Country:US
Mailing Address - Phone:270-765-2244
Mailing Address - Fax:270-765-2485
Practice Address - Street 1:2626 RING RD
Practice Address - Street 2:SUITE 102
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-9118
Practice Address - Country:US
Practice Address - Phone:270-765-2244
Practice Address - Fax:270-765-2485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4740111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000502350OtherANTHEM
KY0007527422OtherAETNA
KY50013896OtherPASSPORT
KY85003010Medicaid
KY000000502350OtherANTHEM
KY000000502350OtherANTHEM
KY85003010Medicaid