Provider Demographics
NPI:1588809230
Name:HOMAN CHIROPRACTIC INC
Entity Type:Organization
Organization Name:HOMAN CHIROPRACTIC INC
Other - Org Name:BURLINGTON FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HOMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-702-1484
Mailing Address - Street 1:2612 BURLINGTON PIKE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:41005-9562
Mailing Address - Country:US
Mailing Address - Phone:513-702-1484
Mailing Address - Fax:513-753-6320
Practice Address - Street 1:2612 BURLINGTON PIKE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:KY
Practice Address - Zip Code:41005-9562
Practice Address - Country:US
Practice Address - Phone:513-702-1484
Practice Address - Fax:513-753-6320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-10
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5162111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty