Provider Demographics
NPI:1730375080
Name:CAWLEY CHIROPRACTIC INC
Entity type:Organization
Organization Name:CAWLEY CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:K
Authorized Official - Last Name:CAWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-525-2222
Mailing Address - Street 1:PO BOX 18156
Mailing Address - Street 2:926 DONALDSON HIGHWAY
Mailing Address - City:ERLANGER
Mailing Address - State:KY
Mailing Address - Zip Code:41018-0156
Mailing Address - Country:US
Mailing Address - Phone:859-525-2222
Mailing Address - Fax:859-525-0999
Practice Address - Street 1:926 DONALDSON HWY
Practice Address - Street 2:
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41018-1073
Practice Address - Country:US
Practice Address - Phone:859-525-2222
Practice Address - Fax:859-525-0999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-20
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYK3843111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY85000131Medicaid
KY52582Medicare UPIN
KY675901Medicare PIN