Individual provider · Type 1 NPI
Jacob Andrew Bullock, DC
Chiropractor · Lexington, KY
NPI number
1154476653
Active
Practice location
152 W Zandale Dr, Suite 101
Lexington, KY 40503-2486
Fax (859) 272-0073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 4918 (KY) |
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.
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About NPI 1154476653
Jacob Andrew Bullock, DC's National Provider Identifier is 1154476653, issued on Jan 24, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lexington, KY. The record was last updated on May 6, 2013.