Provider Demographics
NPI:1700026754
Name:HEBRON CHIROPRACTIC
Entity Type:Organization
Organization Name:HEBRON CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WINNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PERLMUTTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:849-372-0888
Mailing Address - Street 1:2030 NORTHSIDE DR
Mailing Address - Street 2:UNIT C
Mailing Address - City:HEBRON
Mailing Address - State:KY
Mailing Address - Zip Code:41048-7195
Mailing Address - Country:US
Mailing Address - Phone:859-372-0888
Mailing Address - Fax:
Practice Address - Street 1:2030 NORTHSIDE DR
Practice Address - Street 2:UNIT C
Practice Address - City:HEBRON
Practice Address - State:KY
Practice Address - Zip Code:41048-7195
Practice Address - Country:US
Practice Address - Phone:859-372-0888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty