Provider Demographics
NPI:1124294160
Name:FHC WINSTON
Entity type:Organization
Organization Name:FHC WINSTON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:SHARP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:336-768-7227
Mailing Address - Street 1:473 HENDERSONVILLE RD
Mailing Address - Street 2:STE. C
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2750
Mailing Address - Country:US
Mailing Address - Phone:828-277-0903
Mailing Address - Fax:
Practice Address - Street 1:473 HENDERSONVILLE RD
Practice Address - Street 2:STE. C
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2750
Practice Address - Country:US
Practice Address - Phone:828-277-0903
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FOUR HORSEMEN CONSULTING, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty