Provider Demographics
NPI:1144904715
Name:PEAK HEALTH CHIROPRACTIC
Entity type:Organization
Organization Name:PEAK HEALTH CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BREANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BADGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:828-442-0043
Mailing Address - Street 1:1135 N MAIN ST STE D
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-4581
Mailing Address - Country:US
Mailing Address - Phone:828-442-0043
Mailing Address - Fax:
Practice Address - Street 1:1135 N MAIN ST STE D
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-4581
Practice Address - Country:US
Practice Address - Phone:828-442-0043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-13
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty