Healthcare Provider Details

I. General information

NPI: 1417285511
Provider Name (Legal Business Name): HINCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2009
Last Update Date: 12/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 E 3RD ST
PEMBROKE NC
28372-8889
US

IV. Provider business mailing address

PO BOX 3028
PEMBROKE NC
28372-3028
US

V. Phone/Fax

Practice location:
  • Phone: 910-521-7800
  • Fax: 910-521-7893
Mailing address:
  • Phone: 910-521-7800
  • Fax: 910-521-7893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1427
License Number StateNC

VIII. Authorized Official

Name: SHERWOOD F HINSON
Title or Position: MANAGER
Credential: D.C.
Phone: 910-521-7800