Provider Demographics
NPI:1225207327
Name:HEALTH IN CHIROPRACTIC
Entity Type:Organization
Organization Name:HEALTH IN CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:478-275-1338
Mailing Address - Street 1:PO BOX 5077
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31040-5077
Mailing Address - Country:US
Mailing Address - Phone:478-275-1338
Mailing Address - Fax:478-275-1747
Practice Address - Street 1:911 BELLEVUE AVE
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-4849
Practice Address - Country:US
Practice Address - Phone:478-275-1338
Practice Address - Fax:478-275-1747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIRO07239111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP4509Medicare PIN
GAU90275Medicare UPIN