Provider Demographics
NPI:1316295140
Name:HEALING HANDS FAMILY CHIROPRACTIC,P.C.
Entity type:Organization
Organization Name:HEALING HANDS FAMILY CHIROPRACTIC,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:GARFIELD
Authorized Official - Last Name:SANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:906-249-5630
Mailing Address - Street 1:2318 U.S. HWY 41 SOUTH
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855
Mailing Address - Country:US
Mailing Address - Phone:906-249-5630
Mailing Address - Fax:906-249-5631
Practice Address - Street 1:2318 US HIGHWAY 41 S
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-9122
Practice Address - Country:US
Practice Address - Phone:906-249-5630
Practice Address - Fax:906-249-5631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISS007777302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
MION46360Medicare PIN