Hideman, Kenneth Steven
Hideman, Kenneth Steven is an sole proprietor health care provider with primary practice located at 1131 S Indiana Ave , Goshen IN 46526-6207. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Hideman, Kenneth Steven can be contacted via phone (574) 533-0770.Contact Information
Primary practice address
1131 S Indiana Ave
Goshen IN 46526-6207
Phone: (574) 533-0770
Fax: (574) 534-0770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 08001551 | Indiana |
Profile Details
| NPI number | 1295749315 |
|---|---|
| LBN Legal business name | Hideman, Kenneth Steven |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295749315 | NPPES |
| Indiana | Other | 000000387548 | ANTHEM |
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