Jerry Jason Lyles in Georgetown - Chiropractor
Jerry Jason Lyles - NPI 1457407801
Jerry Jason Lyles is a Chiropractor in Georgetown, Kentucky. Jerry Jason Lyles practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jerry Jason Lyles is 1457407801. The last update date is 2010-02-10.
Jerry Jason Lyles's current location address is 100 Eastside Drive, Georgetown, Kentucky. You can contact this provider via phone number 5028680097. The mailing address for Jerry Jason Lyles is 100 Eastside Drive, Georgetown, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Jason Lyles |
|---|---|
| Address | 100 Eastside Drive, Georgetown, Kentucky |
| Phone Number | 5028680097 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C |
NPI Number Detail
| NPI Number | 1457407801 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2010-02-10 |
Provider Mailing Address Detail
| Address | 100 Eastside Drive |
|---|---|
| City | Georgetown |
| State | Kentucky (KY) |
| Post Code | 40324 |
| Phone Number | 5028680097 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 602664841 |
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Definition: 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 inte |
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What is the unique 10-digit identification code assigned to Jerry Jason Lyles by the Centers for Medicare & Medicaid Services?
The Jerry Jason Lyles has been issued the NPI (National Provider Identifier) 1457407801, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jerry Jason Lyles's facilities are situated?
The facilities of Jerry Jason Lyles are physically located at the following address: 100 Eastside Drive, Georgetown, KY, 40324.
What is Jerry Jason Lyles's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jerry Jason Lyles is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1457407801 to Jerry Jason Lyles?
The Jerry Jason Lyles received its 1457407801 assignment from the Centers for Medicare & Medicaid Services on 2007-01-26.
When was the information pertaining to Jerry Jason Lyles most recently updated or revised?
The details related to Jerry Jason Lyles, including its address, specialty, and other relevant information, were last updated or revised on 2010-02-10.
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