Organization
HENDERSON CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN R HENDERSON DC (CEO)
(334) 872-4470
Entity
Organization
Contact information
Practice address
611 BROAD ST, SELMA, AL 36701-4505
(334) 872-4470
(334) 872-4471
Mailing address
611 BROAD ST, SELMA, AL 36701-4505
(334) 872-4470
(334) 872-4471
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1576
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7904
BLUE CROSS
—
Enumeration date
11/10/2017
Last updated
06/16/2018
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