Provider Demographics
NPI:1396007209
Name:HINDMAN FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:HINDMAN FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARRIG
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:HINDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DOC
Authorized Official - Phone:907-696-9090
Mailing Address - Street 1:13135 OLD GLENN HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-7584
Mailing Address - Country:US
Mailing Address - Phone:907-696-9090
Mailing Address - Fax:907-696-9091
Practice Address - Street 1:13135 OLD GLENN HWY STE 100
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-7584
Practice Address - Country:US
Practice Address - Phone:907-696-9090
Practice Address - Fax:907-696-9091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-15
Last Update Date:2017-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK342302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization