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Organization

HENRY CHIROPRACTIC CLINIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN K HENRY D.C. (OWNER DOCTOR)
(662) 890-5454
Entity
Organization

Contact information

Practice address
8820 GOODMAN RD, OLIVE BRANCH, MS 38654-2204
(662) 890-5454
(662) 893-8343
Mailing address
8820 GOODMAN RD, OLIVE BRANCH, MS 38654-2204
(662) 890-5454
(662) 893-8343

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
965
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1174676647
NPI
MS
01
1346239290
DR. BRIAN K HENRY NPI
01
4140696
BLUE CROSS BLUE SHIELD
TN
01
428516988B
BLUE CROSS BLUE SHIELD
MS
01
4430072
UNITED HEALTHCARE
MS
01
4433003
UNITED HEALTHCARE
TN
01
512G700109
MEDICARE GRP PTAN
MS
01
5455686
AETNA
01
6241720001
CIGNA MEDICARE DME
01
6332775
CIGNA
Enumeration date
01/19/2007
Last updated
10/21/2015
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