SPINE STOP BOWLING GREEN, PLLC (NPI# 1811476880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811476880 |
| Entity Type | Organization |
| Organization Name | SPINE STOP BOWLING GREEN, PLLC |
| Practice Address |
760 Campbell Ln Bowling Green KY 42104-1085 |
| Mailing Address |
352 Old Gallatin Rd Scottsville KY 42164-8666 |
| Practice Telephone | 2702373304 |
| Mailing Telephone | 2702373304 |
| Mailing Fax Number | 2702373305 |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-08-10 |
| Authorized Official Name | DR. GRANT G WATKINS II (MEMBER) |
| Authorized Official Telephone | 2702373304 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
760 CAMPBELL LN |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104-1085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548312481 | Robert Burlien Duvall | Optometrist | 760 Campbell Ln, Suite 120, Bowling Green, KY 42104-1085 | 2007-01-18 |
| 1831350164 | Precision Eye Care Professionals,pllc | Optometrist | 760 Campbell Ln, Suite 120, Bowling Green, KY 42104-1085 | 2008-06-19 |
| 1538330063 | Houchens Express Pharmacy LLC | Pharmacy | 760 Campbell Ln, Ste 121, Bowling Green, KY 42104-1085 | 2008-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| 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 |
|---|---|---|---|---|
| 1902360449 | John Peters | Chiropractor | 651 U. S. 31 W. Bypass, Suite 202, Bowling Green, KY 42101-4977 | 2019-01-29 |
| 1962917682 | Bowling Green Family Chiropractic Pllc | Chiropractor | 651 Us 31w Byp Ste 202, Bowling Green, KY 42101-4977 | 2017-12-04 |
| 1407369036 | Raymond Stephen Kociolek | Chiropractor | 651 Us 31w Byp # 202, Bowling Green, KY 42101-4977 | 2017-11-06 |
| 1780063800 | Magna Chiropractic Spine Center of Bowling Green | Chiropractor | 830 Fairview Ave Ste A-3, Bowling Green, KY 42101 | 2015-05-21 |
| 1568870038 | Natural Health and Wellness Center LLC | Chiropractor | 2424 Airway Dr Ste B, Bowling Green, KY 42103-7125 | 2014-07-29 |
| 1922336213 | N Eight LLC | Chiropractor | 427 31-w Bypass, Suite 203, Bowling Green, KY 42101-1703 | 2009-11-24 |
| 1205074978 | Chad Alan Folk | Chiropractor | 427 Us 31w Byp Ste 203, Bowling Green, KY 42101-1703 | 2009-02-03 |
| 1316195100 | Body Works Chiropractic Psc | Chiropractor | 2965 N Mill Ave, Bowling Green, KY 42104-6304 | 2008-09-04 |
| 1457516007 | Amy Beth Brumlow | Chiropractor | 1043 Pedigo Way Ste 14, Bowling Green, KY 42103-7135 | 2008-07-23 |
| 1366601981 | Anita J. Huber, Dc | Chiropractor | 1420 S Business Highway 61 Ste D, Bowling Green, MO 63334-5230 | 2008-06-09 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
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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.