Healthcare Provider Details
I. General information
NPI: 1285829093
Provider Name (Legal Business Name): HUFFMAN FAMILY CHIROPRACTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/14/2007
Last Update Date: 09/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2020 S MEMORIAL DR SUITE E
NEW CASTLE IN
47362-1272
US
IV. Provider business mailing address
2020 S MEMORIAL DR SUITE E
NEW CASTLE IN
47362-1272
US
V. Phone/Fax
- Phone: 765-593-9355
- Fax: 765-593-9466
- Phone: 765-593-9355
- Fax: 765-593-9466
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RACHEL
SMITH
Title or Position: OFFICE MANAGER
Credential:
Phone: 765-593-9355