Provider Demographics
NPI:1063458065
Name:HLHJR VENTURES-CHIROPRACTIC ASSOCIATES LLC
Entity Type:Organization
Organization Name:HLHJR VENTURES-CHIROPRACTIC ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HECK
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:302-856-7460
Mailing Address - Street 1:20856 DUPONT BLVD
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19947-3180
Mailing Address - Country:US
Mailing Address - Phone:302-856-7460
Mailing Address - Fax:
Practice Address - Street 1:20856 DUPONT BLVD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-3180
Practice Address - Country:US
Practice Address - Phone:302-856-7460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1 0000342111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
G01216Medicare ID - Type Unspecified