Organization
HICKS CHIROPRACTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIE HUBER-HICKS D.C. (PARTNER)
(219) 879-2177
Entity
Organization
Contact information
Practice address
501 W. KIEFFER RD., MICHIGAN CITY, IN 46360-9580
(219) 879-2177
Mailing address
501 W. KIEFFER RD., MICHIGAN CITY, IN 46360-9580
(219) 879-2177
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08001435A
IN
111NR0400X
Rehabilitation Chiropractor
Primary
08001324
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200431860A
—
IN
Enumeration date
02/15/2007
Last updated
12/19/2011
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