American Family & Sports Chiropractic Center Inc

LBN: American Family & Sports Chiropractic Center Inc
American Family & Sports Chiropractic Center Inc is an health care organization with primary practice located at 4649 Clyde Morris Blvd Unit 609 , Port Orange FL 32129. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. American Family & Sports Chiropractic Center Inc can be contacted via phone (386) 760-6150, or through Hennighan, Elizabeth Jane via phone (386) 760-6150.

Contact Information

Primary practice address
4649 Clyde Morris Blvd Unit 609 Port Orange FL 32129
Fax: (386) 788-1998
Website:
Authorized official contact:
Name: Hennighan, Elizabeth Jane Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH7773 Florida

Profile Details

NPI number 1669645057
LBN Legal business name American Family & Sports Chiropractic Center Inc
DBA Doing business as
Authorized official Hennighan, Elizabeth Jane Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 8th, 2008
Last updated May 18th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669645057 NPPES
Florida MEDICAID 382037800

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