Basic Information
| Provider Information | |||||||||
| NPI: | 1033449095 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | DANIEL B HERRINGTON DC INC | ||||||||
| LastName: | |||||||||
| FirstName: | |||||||||
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| OtherOrganizationName: | HERRINGTON CHIROPRACTIC | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1309 HIGHWAY 15 N | ||||||||
| Address2: | SUITE C | ||||||||
| City: | LAUREL | ||||||||
| State: | MS | ||||||||
| PostalCode: | 394402652 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6015184545 | ||||||||
| FaxNumber: | 6015180029 | ||||||||
| Practice Location | |||||||||
| Address1: | 1309 HIGHWAY 15 N | ||||||||
| Address2: | SUITE C | ||||||||
| City: | LAUREL | ||||||||
| State: | MS | ||||||||
| PostalCode: | 394402652 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6015184545 | ||||||||
| FaxNumber: | 6015180029 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/13/2010 | ||||||||
| LastUpdateDate: | 01/13/2010 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | HERRINGTON | ||||||||
| AuthorizedOfficialFirstName: | DANIEL | ||||||||
| AuthorizedOfficialMiddleName: | BRANDON | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6015184545 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | DC | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 1150 | MS | Y | 193400000X SINGLE SPECIALTY GROUP | Chiropractic Providers | Chiropractor |
No ID Information.