BENTON CHIROPRACTIC, PLLC (NPI# 1730310285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730310285 |
| Entity Type | Organization |
| Organization Name | BENTON CHIROPRACTIC, PLLC |
| Practice Address |
141 Commerce Blvd Benton KY 42025 |
| Practice Telephone | 2705272007 |
| Practice Fax Number | 2705278324 |
| Mailing Telephone | 2705272007 |
| Mailing Fax Number | 2705278324 |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2019-11-04 |
| Authorized Official Name | DR. ZACHARY LEIBLE (OWNER) |
| Authorized Official Telephone | 2705272007 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5322 | KY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100244920 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 112 E. 5th St, Benton, KY 42025 | 2705272007 | 2705278324 |
| Street Address |
141 COMMERCE BLVD |
| City | BENTON |
| State | KY |
| Zip Code | 42025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093086001 | Zachary Leible | Chiropractor | 141 Commerce Blvd, Benton, KY 42025 | 2012-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073862843 | Elisha Dougherty | Pharmacist | 1004 Big Bear Hwy, Benton, KY 42025 | 2012-09-07 |
| 1689813594 | Murray Calloway County Public Hospital | Internal Medicine | 543 Powell St, Benton, KY 42025 | 2009-02-17 |
| 1912159864 | William J Barabas | Physical Therapist | 244 Us Hwy 68 East, Benton, KY 42025 | 2008-10-22 |
| 1447419031 | Mary Jane Darnell | Occupational Therapy Assistant | 2607 Main Street, Benton, KY 42025 | 2008-06-09 |
| 1710176540 | Karen Diane Reed | Counselor | 198 Old Symsonia Road, Suite 107, Benton, KY 42025 | 2007-10-17 |
| 1255475794 | Community Alternatives Kentucky, Inc. | Home Health | 402 Caky Drive, Benton, KY 42025 | 2007-02-17 |
| 1477605988 | Marshall County Medical Associates | Family Medicine | 145 Vine Street, Benton, KY 42025 | 2007-01-17 |
| 1376604256 | Marshall County Assn. for Exceptional Children and Adults, Inc | Day Training, Developmentally Disabled Services | 198 Old Symsonia Road, Benton, KY 42025 | 2006-12-13 |
| 1023111929 | Benton Health Care, LLC | Nurse Practitioner | 414 East 12th Street, Benton, KY 42025 | 2006-09-06 |
| 1992754923 | Benton Discount Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2606 Main St, Benton, KY 42025 | 2006-05-08 |
| Find all providers in zip 42025 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942849179 | Tanner Evans | Chiropractor | 110b E 5th St, Benton, KY 42025-1118 | 2020-01-06 |
| 1609301845 | John Dylan Machycek | Chiropractor | 3309 Winchester, Benton, AR 72015-2896 | 2017-04-25 |
| 1437458304 | Jason Scott Ozbourn | Chiropractor | 715 Sheridan Dr, Benton, IL 62812-1047 | 2011-03-17 |
| 1336467315 | Allyson Lynne Kathalynas | Chiropractor | 206 E Church St Ste A, Benton, IL 62812-2239 | 2010-05-14 |
| 1780900555 | Steffanie Kohn | Chiropractor | 188 E Main St, Benton, WI 53803 | 2010-04-19 |
| 1043489578 | Prange Chiropractic Center | Chiropractor | 3098 Us Highway 641 N, Benton, KY 42025-7464 | 2008-02-28 |
| 1215127618 | Tony Joe Barger | Chiropractor | 1900 Military Rd, Suite 1, Benton, AR 72015-2805 | 2007-07-31 |
| 1902005861 | Michael B Travis | Chiropractor | 374 W 5th St, Benton, KY 42025-1102 | 2007-07-12 |
| 1487871000 | Darrellyn Williams | Chiropractor | 707 Sunset, Benton, AR 72015-3538 | 2007-04-18 |
| 1154485316 | Carmen J House | Chiropractor | 106 West Washington Street, Benton, IL 62812 | 2006-12-21 |
| Find all providers in BENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.