Provider Demographics
| NPI: | 1033634688 |
|---|---|
| Name: | IN HIS HANDS FAMILY CHIROPRACTIC, PLLC |
| Entity type: | Organization |
| Organization Name: | IN HIS HANDS FAMILY CHIROPRACTIC, PLLC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | RACHEL |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | HOLMBERG |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | DC |
| Authorized Official - Phone: | 517-927-9757 |
| Mailing Address - Street 1: | 5236 DUMOND CT STE D |
| Mailing Address - Street 2: | |
| Mailing Address - City: | LANSING |
| Mailing Address - State: | MI |
| Mailing Address - Zip Code: | 48917-6001 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 517-483-2939 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 5236 DUMOND CT |
| Practice Address - Street 2: | |
| Practice Address - City: | LANSING |
| Practice Address - State: | MI |
| Practice Address - Zip Code: | 48917-6001 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 517-295-3443 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2017-08-04 |
| Last Update Date: | 2018-02-09 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| MI | 2301010040 | 261QH0100X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | Health Service |