Provider Demographics
NPI:1033449095
Name:DANIEL B HERRINGTON DC INC
Entity Type:Organization
Organization Name:DANIEL B HERRINGTON DC INC
Other - Org Name:HERRINGTON CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:BRANDON
Authorized Official - Last Name:HERRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:601-518-4545
Mailing Address - Street 1:1309 HIGHWAY 15 N
Mailing Address - Street 2:SUITE C
Mailing Address - City:LAUREL
Mailing Address - State:MS
Mailing Address - Zip Code:39440-2652
Mailing Address - Country:US
Mailing Address - Phone:601-518-4545
Mailing Address - Fax:601-518-0029
Practice Address - Street 1:1309 HIGHWAY 15 N
Practice Address - Street 2:SUITE C
Practice Address - City:LAUREL
Practice Address - State:MS
Practice Address - Zip Code:39440-2652
Practice Address - Country:US
Practice Address - Phone:601-518-4545
Practice Address - Fax:601-518-0029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-13
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1150111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty