Provider Demographics
NPI:1619006087
Name:HOARD CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:HOARD CHIROPRACTIC INC.
Other - Org Name:HOARD CHIROPRACTIC OFFICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HOARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:269-649-0325
Mailing Address - Street 1:1778 E VW AVE
Mailing Address - Street 2:
Mailing Address - City:VICKSBURG
Mailing Address - State:MI
Mailing Address - Zip Code:49097-9410
Mailing Address - Country:US
Mailing Address - Phone:269-649-0325
Mailing Address - Fax:269-649-4334
Practice Address - Street 1:1778 E VW AVE
Practice Address - Street 2:
Practice Address - City:VICKSBURG
Practice Address - State:MI
Practice Address - Zip Code:49097-9410
Practice Address - Country:US
Practice Address - Phone:269-649-0325
Practice Address - Fax:269-649-4334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301004855111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty