Provider Demographics
NPI:1972655231
Name:HEGW ENTERPRISES INC
Entity Type:Organization
Organization Name:HEGW ENTERPRISES INC
Other - Org Name:PALM HARBOR FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:E
Authorized Official - Last Name:HINTON
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER MGR PRES
Authorized Official - Phone:727-787-2285
Mailing Address - Street 1:350 ALT 19 N
Mailing Address - Street 2:ST D
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683
Mailing Address - Country:US
Mailing Address - Phone:727-787-2285
Mailing Address - Fax:
Practice Address - Street 1:350 ALT 19 N
Practice Address - Street 2:ST D
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683
Practice Address - Country:US
Practice Address - Phone:727-787-2285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
99502OtherBCBS