Rejina Hendricksen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR006711 Issued in GA

Practice address

6703 Shannon Pkwy
Ste 14
Union City, GA 30291-2073

Phone

(770) 964-3334

Fax

(770) 306-2680

NPI assigned

Apr 19, 2006

Last updated

Aug 29, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Rejina Habrack Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chiropractic Solutions

  • Chiropractor
  • Stockbridge, GA
  • NPI 1043350309
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1699730085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6703 SHANNON PKWY",
            "address_2": "STE 14",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912073",
            "telephone_number": "770-964-3334",
            "fax_number": "770-306-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6703 SHANNON PKWY",
            "address_2": "STE 14",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912073",
            "telephone_number": "770-964-3334",
            "fax_number": "770-306-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSEN",
        "first_name": "REJINA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REJINA",
            "last_name": "HABRACK",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allen James Harrell II
• He Cares Medical Walk in Clinic LLC
• He Cares Medical Walk in Clinic, LLC
• Heal, Inc
• Helping to Heal Counseling Services LLC
• Robert Jabari Hendrix
• Alasdeeme Joshua Henry, M.D.
• Kaliyah Hill
• Melissa Garrett Hill, D.M.D.
• Maurita Marice Hodge, ED.D, LPC

• Chiropractor in Union City, GA
• Providers in Union City, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.