Individual
DR. ELIZABETH JANE HENNIGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1398 DUNLAWTON AVE, D-4, PORT ORANGE, FL 32127-8951
(386) 760-6150
(386) 788-1998
Mailing address
P. O. BOX 290406, PORT ORANGE, FL 32129-0406
(386) 760-6150
(386) 788-1998
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH7773
FL
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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