Organization
HENNICKEN FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL J HENNICKEN DC (OWNER)
(864) 363-5239
Entity
Organization
Contact information
Practice address
1624 WOODRUFF RD, STE. 8, GREENVILLE, SC 29607-5976
(864) 363-5239
(864) 281-1555
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
06/02/2009
Last updated
10/28/2010
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