Provider Demographics
NPI:1396916342
Name:HIS WAY INC.
Entity type:Organization
Organization Name:HIS WAY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:YUHAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:502-331-0900
Mailing Address - Street 1:200 E JOHN ROWAN BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:BARDSTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40004-2716
Mailing Address - Country:US
Mailing Address - Phone:502-331-0900
Mailing Address - Fax:502-331-0937
Practice Address - Street 1:200 E JOHN ROWAN BLVD STE B
Practice Address - Street 2:
Practice Address - City:BARDSTOWN
Practice Address - State:KY
Practice Address - Zip Code:40004-2716
Practice Address - Country:US
Practice Address - Phone:502-331-0900
Practice Address - Fax:502-331-0937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4592111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7868Medicare PIN