Provider Demographics
NPI:1053921510
Name:HENGESTEG CHIROPRACTIC INC
Entity type:Organization
Organization Name:HENGESTEG CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:HENGESTEG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:858-748-7703
Mailing Address - Street 1:14168 POWAY RD STE 105
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-4938
Mailing Address - Country:US
Mailing Address - Phone:858-748-7703
Mailing Address - Fax:
Practice Address - Street 1:14168 POWAY RD STE 105
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-4938
Practice Address - Country:US
Practice Address - Phone:858-748-7703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-08
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty