Provider Demographics
NPI:1568285294
Name:MHN CHIROPRACTIC LLC
Entity type:Organization
Organization Name:MHN CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:HOPE
Authorized Official - Last Name:NUTHALS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:715-297-5235
Mailing Address - Street 1:15895 TALON TER
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33982-2167
Mailing Address - Country:US
Mailing Address - Phone:715-297-5235
Mailing Address - Fax:
Practice Address - Street 1:42040 CYPRESS PARKWAY
Practice Address - Street 2:SUITE 2
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33982
Practice Address - Country:US
Practice Address - Phone:715-297-5235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty