Provider Demographics
NPI:1801205059
Name:GREG A.HIXON D.C., INC.
Entity Type:Organization
Organization Name:GREG A.HIXON D.C., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:ARNOLD
Authorized Official - Last Name:HIXON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:937-328-3220
Mailing Address - Street 1:1108 N BECHTLE AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45504-2010
Mailing Address - Country:US
Mailing Address - Phone:937-328-3220
Mailing Address - Fax:937-328-3222
Practice Address - Street 1:1108 N BECHTLE AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45504-2010
Practice Address - Country:US
Practice Address - Phone:937-328-3220
Practice Address - Fax:937-328-3222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-12
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4451111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty