Individual
PAUL J HENNICKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1624 WOODRUFF RD STE 8, GREENVILLE, SC 29607-5944
(864) 363-5239
Mailing address
68 GLOBAL DR, SUITE 100, GREENVILLE, SC 29607-4628
(864) 644-2700
(864) 644-2709
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3322
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3322
DC LICENSE
SC
Enumeration date
03/03/2008
Last updated
11/10/2010
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