Provider Demographics
NPI:1013199397
Name:ALL FAMILY CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:ALL FAMILY CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:G
Authorized Official - Last Name:JUNEMANN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:940-696-8184
Mailing Address - Street 1:2708 S W PARKWAY
Mailing Address - Street 2:SUITE A121
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-3733
Mailing Address - Country:US
Mailing Address - Phone:940-696-8184
Mailing Address - Fax:940-696-8187
Practice Address - Street 1:2708 S W PARKWAY
Practice Address - Street 2:SUITE A121
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-3733
Practice Address - Country:US
Practice Address - Phone:940-696-8184
Practice Address - Fax:940-696-8187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1542111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0012PSOtherBLUECROSS BLUESHIELD
TX0012PSOtherBLUECROSS BLUESHIELD