Provider Demographics
NPI:1851612352
Name:HENRY CHIROPRACTIC CENTER INC
Entity Type:Organization
Organization Name:HENRY CHIROPRACTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:251-661-0833
Mailing Address - Street 1:2316 KNOLLWOOD DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-3120
Mailing Address - Country:US
Mailing Address - Phone:251-661-0833
Mailing Address - Fax:251-661-7036
Practice Address - Street 1:2316 KNOLLWOOD DR
Practice Address - Street 2:SUITE 5
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36693-3120
Practice Address - Country:US
Practice Address - Phone:251-661-0833
Practice Address - Fax:251-661-7036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-18
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1011261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center