Provider Demographics
NPI:1588736920
Name:CHIROPRACTIC CONNECTION INC
Entity type:Organization
Organization Name:CHIROPRACTIC CONNECTION INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUFFMEYER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-934-6260
Mailing Address - Street 1:915 COUNTY LINE ROAD
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-8901
Mailing Address - Country:US
Mailing Address - Phone:812-934-6260
Mailing Address - Fax:812-934-6260
Practice Address - Street 1:915 COUNTY LINE ROAD
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-8901
Practice Address - Country:US
Practice Address - Phone:812-934-6260
Practice Address - Fax:812-934-6260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001734A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN701960Medicare PIN