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NPI Code Detail

MEDICARE: DR. AMY LUELLA HANCE D.C.

MEDICARE:  DR. AMY LUELLA HANCE  D.C.
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
1111N00000XChiropractorAH007560MI

General Provider Information

NPI Number : 1528137460
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY LUELLA HANCE D.C.
Provider Business Mailing Address
First Line : 5590 NESTEL RD E
Second Line :
City : SAINT HELEN
State : MI
Zip : 48656-9568
Country : US
Telephone Number : 989-389-1842
Fax Number :
Provider Business Practice Location Address
First Line : 3508 W HOUGHTON LAKE DR
Second Line :
City : HOUGHTON LAKE
State : MI
Zip : 48629-9200
Country : US
Telephone Number : 989-366-3000
Fax Number : 989-366-3000
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 07/08/2007

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Directions to “ DR. AMY LUELLA HANCE D.C.” Practice Location

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