Provider Demographics
NPI: | 1346693975 |
---|---|
Name: | HEALING HANDS OF NEWTOWN |
Entity type: | Organization |
Organization Name: | HEALING HANDS OF NEWTOWN |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER/MANAGER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JANET |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | CIATTO |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 215-504-1523 |
Mailing Address - Street 1: | 258 S STATE ST |
Mailing Address - Street 2: | REAR SUITE 1 |
Mailing Address - City: | NEWTOWN |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 18940-1946 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 215-504-1523 |
Mailing Address - Fax: | 215-579-4959 |
Practice Address - Street 1: | 258 S STATE ST |
Practice Address - Street 2: | REAR SUITE 1 |
Practice Address - City: | NEWTOWN |
Practice Address - State: | PA |
Practice Address - Zip Code: | 18940-1946 |
Practice Address - Country: | US |
Practice Address - Phone: | 215-504-1523 |
Practice Address - Fax: | 215-579-4959 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-07-19 |
Last Update Date: | 2016-07-19 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PA | 111N00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 111N00000X | Chiropractic Providers | Chiropractor | Group - Single Specialty |