Heartland Chiropractic, LLC
Organization Active NPI Chiropractor · Early, TX
NPI 1700100666 · NPPES record last updated Mar 22, 2010
Key facts
- NPI
- 1700100666
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 10575 (TX)
- Legal business name
- HEARTLAND CHIROPRACTIC, LLC
- Practice address
- 919 Early Blvd
Ste 1C
Early, TX 76802 - Phone
- (325) 641-2541
- NPI assigned
- Mar 22, 2010
- Organization subpart
- Yes
- Parent organization (as reported)
- HEARTLAND CHIROPRACTIC, LLC
Authorized official
- Name
- Lorin Shae Wolf, D.C.
- Title
- Chiropractor
- Phone
- (325) 641-2541
Practitioners 2
-
Landry Alexander, D.C.
-
Lorin Wolf, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100513000313 | TX | Part B Supplier - Clinic/Group Practice | 1456489392 |
Receives reassigned benefits from 2 practitioners Practice locations: Early, TX |
National Provider Directory
- Part of
- Heartland Chiropractic LLC
Locations
919 Early Blvd
Ste 1C
Early, TX 76802
Phone (325) 641-2541
919 Early Blvd
Ste 2B
Early, TX 76802
Phone (325) 641-2541
Interoperability endpoints
- lwolf@hc0052.direct.chirotouch.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 10575 | TX | Yes |
Addresses
Primary practice location
919 Early Blvd
Ste 1C
Early, TX 76802
Mailing address
919 Early Blvd
Ste 1C
Early, TX 76802
Phone (325) 641-2541
Other names
- Heartland Chiropractic
Other providers in Early, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.