Provider Demographics
NPI:1043350309
Name:CHIROPRACTIC SOLUTIONS
Entity Type:Organization
Organization Name:CHIROPRACTIC SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PREISDENT
Authorized Official - Prefix:
Authorized Official - First Name:REJINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDRICKSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:678-432-4755
Mailing Address - Street 1:875 HWY 138 W STE 1
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281
Mailing Address - Country:US
Mailing Address - Phone:678-432-4755
Mailing Address - Fax:
Practice Address - Street 1:875 HWY 138 W STE 1
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281
Practice Address - Country:US
Practice Address - Phone:678-432-4755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA=========OtherTAX ID