Provider Demographics
NPI:1225282155
Name:HENARD FAMILY CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:HENARD FAMILY CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:HENARD
Authorized Official - Last Name:BENHAMRON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:850-897-1105
Mailing Address - Street 1:4566 E HIGHWAY 20 STE 205
Mailing Address - Street 2:
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32578-8839
Mailing Address - Country:US
Mailing Address - Phone:850-897-1105
Mailing Address - Fax:850-897-1108
Practice Address - Street 1:4566 E HIGHWAY 20 STE 205
Practice Address - Street 2:
Practice Address - City:NICEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32578-8839
Practice Address - Country:US
Practice Address - Phone:850-897-1105
Practice Address - Fax:850-897-1108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty