Provider Demographics
NPI:1235537440
Name:PEAK HEALTH CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:PEAK HEALTH CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:B
Authorized Official - Last Name:HANEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-428-7285
Mailing Address - Street 1:PO BOX 821517
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76182-1517
Mailing Address - Country:US
Mailing Address - Phone:817-581-7325
Mailing Address - Fax:
Practice Address - Street 1:5587 DAVIS BLVD.
Practice Address - Street 2:SUITE 500
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180
Practice Address - Country:US
Practice Address - Phone:817-581-7325
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-22
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX07002111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty