Provider Demographics
NPI:1255593976
Name:HENDERSON CHIROPRACTIC AND SPORTS CARE, P.C.
Entity type:Organization
Organization Name:HENDERSON CHIROPRACTIC AND SPORTS CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-696-2455
Mailing Address - Street 1:1630 SPARTANBURG HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-6827
Mailing Address - Country:US
Mailing Address - Phone:828-696-2455
Mailing Address - Fax:828-696-4792
Practice Address - Street 1:1630 SPARTANBURG HWY
Practice Address - Street 2:SUITE B
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-6827
Practice Address - Country:US
Practice Address - Phone:828-696-2455
Practice Address - Fax:828-696-4792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty