Provider Demographics
NPI:1336271881
Name:HUSKEY CHIROPRACTIC CENTER, PC
Entity Type:Organization
Organization Name:HUSKEY CHIROPRACTIC CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:HUSKEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-697-9447
Mailing Address - Street 1:3173 HAYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-6700
Mailing Address - Country:US
Mailing Address - Phone:828-697-9447
Mailing Address - Fax:828-697-9158
Practice Address - Street 1:3173 HAYWOOD RD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-6700
Practice Address - Country:US
Practice Address - Phone:828-697-9447
Practice Address - Fax:828-697-9158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-11
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1940111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89015X5Medicaid
NC0103VOtherBCBS NC GROUP NUMBER
NC2335692Medicare ID - Type Unspecified