Provider Demographics
NPI:1538923396
Name:GROWING FAMILY CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:GROWING FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BREANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERINK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:309-826-7156
Mailing Address - Street 1:554 PIT RD # 13
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-9555
Mailing Address - Country:US
Mailing Address - Phone:317-457-1044
Mailing Address - Fax:
Practice Address - Street 1:554 PIT RD OFC 13
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-9555
Practice Address - Country:US
Practice Address - Phone:317-457-1044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center