Individual
DR. DERRICK R HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
663 COUNTY ROAD 17, STE 3, ELKHART, IN 46516
(574) 522-2255
(574) 522-1026
Mailing address
663 COUNTY ROAD 17 STE 3, ELKHART, IN 46516-9329
(574) 522-2255
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001451
IN
Other
Enumeration date
05/05/2006
Last updated
09/16/2013
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