Provider Demographics
NPI:1033535331
Name:HEALINGHANDSCHIROPRACTICCENTER
Entity Type:Organization
Organization Name:HEALINGHANDSCHIROPRACTICCENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INS CLERK
Authorized Official - Prefix:MRS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:FAYE
Authorized Official - Last Name:HIBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-586-9777
Mailing Address - Street 1:2950 HEBRON PARK DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:HEBRON
Mailing Address - State:KY
Mailing Address - Zip Code:41048-8510
Mailing Address - Country:US
Mailing Address - Phone:859-586-9777
Mailing Address - Fax:859-689-6133
Practice Address - Street 1:2950 HEBRON PARK DR
Practice Address - Street 2:SUITE E
Practice Address - City:HEBRON
Practice Address - State:KY
Practice Address - Zip Code:41048-8510
Practice Address - Country:US
Practice Address - Phone:859-586-9777
Practice Address - Fax:859-689-6133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-11
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4167111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty