Doctor Name: | DR. STEPHEN CRAIG HENRY |
NPI Number: | 1942379599 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | CH0003017 |
Business Practice Address: | 412 Mountain Drive Dr Stephen C Henry Henry Chiropractic Clinic Destin, FL - 325412334 |
Business Phone Number: | 8508372838 |
Business Fax Number: | 8508377768 |
Mailing Address: | 412 Mountain Drive, Dr Stephen C Henry Henry Chiropractic Clinic DESTIN |
State: | FL |
Postal Code: | 325412334 |
Phone Number: | 8508372838 |
Fax Number: | 8508377768 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 04/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH0003017 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |