Provider Demographics
NPI:1215664743
Name:ARISMAN, HANNAH ALISE (DC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:ALISE
Last Name:ARISMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2118 OLD EVERGREEN PKWY
Mailing Address - Street 2:
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-8874
Mailing Address - Country:US
Mailing Address - Phone:443-243-3837
Mailing Address - Fax:
Practice Address - Street 1:2118 OLD EVERGREEN PKWY
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-8874
Practice Address - Country:US
Practice Address - Phone:443-243-3837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5517111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor