Provider Demographics
NPI:1467967034
Name:KATHERINE HIPP CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:KATHERINE HIPP CHIROPRACTIC, INC.
Other - Org Name:DR. HIPP'S CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HIPP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:415-500-2858
Mailing Address - Street 1:133 KEARNY ST STE 300
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-4811
Mailing Address - Country:US
Mailing Address - Phone:415-500-2858
Mailing Address - Fax:415-590-7462
Practice Address - Street 1:133 KEARNY ST STE 300
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-4811
Practice Address - Country:US
Practice Address - Phone:415-500-2858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-05
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC29035111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty