Provider Demographics
NPI:1134301054
Name:HANDS ON HEALING PLC
Entity Type:Organization
Organization Name:HANDS ON HEALING PLC
Other - Org Name:PRESCOTT PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:L
Authorized Official - Last Name:REICHLE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:928-778-4371
Mailing Address - Street 1:1000 WILLOW CREEK RD STE B
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-1645
Mailing Address - Country:US
Mailing Address - Phone:928-778-4371
Mailing Address - Fax:928-771-8447
Practice Address - Street 1:1000 WILLOW CREEK RD STE B
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-1645
Practice Address - Country:US
Practice Address - Phone:928-778-4371
Practice Address - Fax:928-771-8447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20371207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ78762Medicare PIN