Provider Demographics
NPI:1023213972
Name:HEALING HANDS CHIROPRACTIC PC
Entity Type:Organization
Organization Name:HEALING HANDS CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARMIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:GANS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:636-937-4600
Mailing Address - Street 1:508 N TRUMAN BLVD
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL CITY
Mailing Address - State:MO
Mailing Address - Zip Code:63019-1344
Mailing Address - Country:US
Mailing Address - Phone:636-937-4600
Mailing Address - Fax:
Practice Address - Street 1:508 N TRUMAN BLVD
Practice Address - Street 2:
Practice Address - City:CRYSTAL CITY
Practice Address - State:MO
Practice Address - Zip Code:63019-1344
Practice Address - Country:US
Practice Address - Phone:636-937-4600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-20
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000153526111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1841211141OtherDR. RYAN GANS
MO1841218203OtherDR. CHARMIN GANS NPI
MO000031832Medicare ID - Type UnspecifiedDR. RYAN GANS
MO1841218203OtherDR. CHARMIN GANS NPI
MO990001616Medicare ID - Type UnspecifiedHEALING HANDS CHIROPRACTI