Provider Demographics
NPI:1750447769
Name:DINN CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:DINN CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:DINN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-647-2834
Mailing Address - Street 1:284 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-2031
Mailing Address - Country:US
Mailing Address - Phone:859-647-2837
Mailing Address - Fax:859-647-9185
Practice Address - Street 1:284 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-2031
Practice Address - Country:US
Practice Address - Phone:859-647-2834
Practice Address - Fax:859-647-9185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4457111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7880Medicare PIN