Provider Demographics
NPI:1467792028
Name:CHRISTIAN FAMILY CHIROPRACTIC & HEALTH SERVICES PSC
Entity Type:Organization
Organization Name:CHRISTIAN FAMILY CHIROPRACTIC & HEALTH SERVICES PSC
Other - Org Name:ADONAI CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:270-886-6046
Mailing Address - Street 1:1110 S MAIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-2077
Mailing Address - Country:US
Mailing Address - Phone:270-886-6046
Mailing Address - Fax:270-885-1960
Practice Address - Street 1:1110 S MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-2077
Practice Address - Country:US
Practice Address - Phone:270-886-6046
Practice Address - Fax:270-885-1960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-19
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty