Provider Demographics
NPI:1447673769
Name:ATHENA CHIROPRACTIC LLC
Entity type:Organization
Organization Name:ATHENA CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:C
Authorized Official - Last Name:FEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:302-463-9820
Mailing Address - Street 1:PO BOX 7338
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-0338
Mailing Address - Country:US
Mailing Address - Phone:302-463-9820
Mailing Address - Fax:302-475-9849
Practice Address - Street 1:2036 FOULK RD STE 101
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-3649
Practice Address - Country:US
Practice Address - Phone:302-463-9820
Practice Address - Fax:302-475-9849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000431111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1992727267OtherNPI - PROVIDER
000B64B41OtherMEDICARE #
000B64B41OtherMEDICARE #