Provider Demographics
NPI:1538832365
Name:HEBDON CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:HEBDON CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NADINE
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:HEBDON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:716-713-7771
Mailing Address - Street 1:313 E COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37055-1891
Mailing Address - Country:US
Mailing Address - Phone:716-713-7771
Mailing Address - Fax:
Practice Address - Street 1:313 E COLLEGE ST
Practice Address - Street 2:
Practice Address - City:DICKSON
Practice Address - State:TN
Practice Address - Zip Code:37055-1891
Practice Address - Country:US
Practice Address - Phone:716-713-7771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-28
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center