Provider Demographics
NPI:1215052733
Name:HANRAHAN CHIROPRACTIC CENTER PC.
Entity type:Organization
Organization Name:HANRAHAN CHIROPRACTIC CENTER PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:M
Authorized Official - Last Name:HANRAHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:810-364-4433
Mailing Address - Street 1:901 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48040-2100
Mailing Address - Country:US
Mailing Address - Phone:810-364-4433
Mailing Address - Fax:810-364-4453
Practice Address - Street 1:901 MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:MI
Practice Address - Zip Code:48040-2100
Practice Address - Country:US
Practice Address - Phone:810-364-4433
Practice Address - Fax:810-364-4453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301005229111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0G47612Medicare ID - Type Unspecified