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NPI Code Detail

MEDICARE: HALSA CHIROPRACTIC PLLC

MEDICARE: HALSA CHIROPRACTIC PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1629826946
Entity Type Code : Organization
Provider Name (Legal Business Name) : HALSA CHIROPRACTIC PLLC
Provider Business Mailing Address
First Line : 1205 PYLE DR
Second Line :
City : KINGSFORD
State : MI
Zip : 49802-1132
Country : US
Telephone Number : 715-889-3886
Fax Number :
Provider Business Practice Location Address
First Line : 1205 PYLE DR
Second Line :
City : KINGSFORD
State : MI
Zip : 49802-1132
Country : US
Telephone Number : 715-889-3886
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TOMAS HEMGREN
Credential : DC
Telephone Number : 715-889-3886
Provider Enumeration Date : 05/10/2024
Last Update Date : 05/10/2024

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Directions to “HALSA CHIROPRACTIC PLLC ” Practice Location

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