Provider Demographics
NPI:1053943795
Name:HEALTHQUEST CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:HEALTHQUEST CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:A
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:270-726-3164
Mailing Address - Street 1:PO BOX 156
Mailing Address - Street 2:
Mailing Address - City:ROCKFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42274-0156
Mailing Address - Country:US
Mailing Address - Phone:270-726-3164
Mailing Address - Fax:270-726-1520
Practice Address - Street 1:178 E 4TH ST
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:KY
Practice Address - Zip Code:42276-1820
Practice Address - Country:US
Practice Address - Phone:270-726-3164
Practice Address - Fax:270-726-1520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-11
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty