Provider Demographics
NPI:1598639940
Name:IVEY FAMILY CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:IVEY FAMILY CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEC
Authorized Official - Middle Name:HAVON
Authorized Official - Last Name:IVEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:601-678-5044
Mailing Address - Street 1:9431 EASTSIDE DRIVE EXT STE A
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MS
Mailing Address - Zip Code:39345-8072
Mailing Address - Country:US
Mailing Address - Phone:601-635-3025
Mailing Address - Fax:
Practice Address - Street 1:9431 EASTSIDE DRIVE EXT STE A
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MS
Practice Address - Zip Code:39345-8072
Practice Address - Country:US
Practice Address - Phone:601-635-3025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty