Provider Demographics
NPI:1528063260
Name:HEMBREE, DON M (DC)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:M
Last Name:HEMBREE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1159
Mailing Address - Street 2:
Mailing Address - City:ESCATAWPA
Mailing Address - State:MS
Mailing Address - Zip Code:39552
Mailing Address - Country:US
Mailing Address - Phone:228-475-0676
Mailing Address - Fax:228-475-0678
Practice Address - Street 1:8820 HWY. 613
Practice Address - Street 2:
Practice Address - City:MOSS POINT
Practice Address - State:MS
Practice Address - Zip Code:39562-8102
Practice Address - Country:US
Practice Address - Phone:228-475-0676
Practice Address - Fax:228-475-0678
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSMS815111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00115489Medicaid
MS350000194Medicare ID - Type Unspecified