| Runyon Specific Chiropractic, Llc | |
|
1448 Diederich Blvd, Russell, KY 41169-1719 | |
| (606) 833-9355 | |
| (606) 833-1895 |
| Full Name | Runyon Specific Chiropractic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1448 Diederich Blvd, Russell, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043499403 | NPI | - | NPPES |
| 85003416 | Medicaid | KY | |
| 000000336562 | Other | KY | BLUE CROSS BLUE SHIELD |
| 2634242 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4816 (Kentucky) | Primary |
| Provider Name | Jason Wayne Runyon |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679617344 PECOS PAC ID: 1052388402 Enrollment ID: I20040916000674 |
| Mailing Address | Practice Location Address |
|---|---|
| Runyon Specific Chiropractic, Llc Po Box 741, Ashland, KY 41105-0741 Ph: (606) 833-9355 | Runyon Specific Chiropractic, Llc 1448 Diederich Blvd, Russell, KY 41169-1719 Ph: (606) 833-9355 |
Brad Lee Profitt, PT, DPT, CSCS, DC, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1451 Diederich Blvd, Russell, KY 41169 Phone: 606-388-2173 | |
Bodyworx Physical Therapy & Chiropractic Wellness Center Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1451 Diederich Blvd, Russell, KY 41169 Phone: 606-833-2173 | |
Carey Chiropractic And Rehabilitation Center, Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 974 Diederich Blvd, Russell, KY 41169 Phone: 740-886-7878 Fax: 740-886-1609 |