Provider Demographics
NPI: | 1346596236 |
---|---|
Name: | HEALING TOUCH CHIROPRACTIC, PC |
Entity type: | Organization |
Organization Name: | HEALING TOUCH CHIROPRACTIC, PC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CHIROPRACTOR |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | MICHELLE |
Authorized Official - Middle Name: | JEAN |
Authorized Official - Last Name: | KERR |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DC |
Authorized Official - Phone: | 251-289-1482 |
Mailing Address - Street 1: | 1110 HILLCREST RD |
Mailing Address - Street 2: | SUITE 1-F |
Mailing Address - City: | MOBILE |
Mailing Address - State: | AL |
Mailing Address - Zip Code: | 36695-4044 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 251-289-1482 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1110 HILLCREST RD |
Practice Address - Street 2: | SUITE 1-F |
Practice Address - City: | MOBILE |
Practice Address - State: | AL |
Practice Address - Zip Code: | 36695-4044 |
Practice Address - Country: | US |
Practice Address - Phone: | 251-289-1482 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-07-28 |
Last Update Date: | 2012-07-28 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
AL | 2250 | 111N00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 111N00000X | Chiropractic Providers | Chiropractor | Group - Single Specialty |