person
Dr. Edward A. Blanco, DC
Chiropractor in Louisville, Kentucky
NPI 1013003771

Edward A. Blanco is a Chiropractor based in Louisville, KY. Edward A. Blanco practices in Louisville, KY and has the professional credentials of DC. The NPI Number for Edward A. Blanco is 1013003771 and holds a License No. DC0000001562 (Kentucky).

The current practice location address for Edward A. Blanco is 12464 La Grange Rd, Louisville, KY and can be reached out via phone at 502-205-2090 and via fax at 502-205-2091.

Location: 12464 La Grange Rd, Louisville, KY, 40245-1901
person
Provider Profile Details
NPI Number
1013003771
Provider Name
Edward A. Blanco
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
12464 La Grange Rd, Louisville, KY, 40245-1901
Phone Number
502-205-2090
Fax Number
502-205-2091
Provider Enumeration Date
10/04/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3970873 05 TN
institution
Provider Business Practice Location Address Details
Address
12464 La Grange Rd
City
State
Zip
40245-1901
Phone Number
502-205-2090
Fax Number
502-205-2091
person
Provider Business Mailing Address Details
Address
12464 La Grange Rd
City
State
Zip
40245-1901
Phone Number
502-205-2090
Fax Number
502-205-2091
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
DC0000001562 (Tennessee)
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 interrelationship with other body systems.
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