Provider Demographics
NPI:1396045720
Name:CABELL COUNTY CHIROPRACTIC INC
Entity Type:Organization
Organization Name:CABELL COUNTY CHIROPRACTIC INC
Other - Org Name:AMERICAN HEALTH CENTERS OF HUNTINGTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC/CLINIC DIR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:E
Authorized Official - Last Name:ZERKLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-581-3316
Mailing Address - Street 1:4540 US ROUTE 60 E
Mailing Address - Street 2:SUITE 2
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25705-1936
Mailing Address - Country:US
Mailing Address - Phone:304-581-3316
Mailing Address - Fax:
Practice Address - Street 1:1301 WINCHESTER AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7553
Practice Address - Country:US
Practice Address - Phone:304-581-3316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-02
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty