Provider Demographics
NPI:1528137460
Name:HANCE, AMY LUELLA (DC)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:LUELLA
Last Name:HANCE
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 1:5590 NESTEL RD E
Mailing Address - Street 2:
Mailing Address - City:SAINT HELEN
Mailing Address - State:MI
Mailing Address - Zip Code:48656-9568
Mailing Address - Country:US
Mailing Address - Phone:989-389-1842
Mailing Address - Fax:
Practice Address - Street 1:3508 W HOUGHTON LAKE DR
Practice Address - Street 2:
Practice Address - City:HOUGHTON LAKE
Practice Address - State:MI
Practice Address - Zip Code:48629-9200
Practice Address - Country:US
Practice Address - Phone:989-366-3000
Practice Address - Fax:989-366-3000
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAH007560111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor