Provider Demographics
NPI:1346284775
Name:HALSEY FAMILY CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:HALSEY FAMILY CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:L
Authorized Official - Last Name:HALSEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:989-427-3457
Mailing Address - Street 1:503 E. MAIN ST
Mailing Address - Street 2:PO BOX 77
Mailing Address - City:EDMORE
Mailing Address - State:MI
Mailing Address - Zip Code:48829
Mailing Address - Country:US
Mailing Address - Phone:989-427-3457
Mailing Address - Fax:989-427-3487
Practice Address - Street 1:503 E MAIN ST
Practice Address - Street 2:
Practice Address - City:EDMORE
Practice Address - State:MI
Practice Address - Zip Code:48829
Practice Address - Country:US
Practice Address - Phone:989-427-3457
Practice Address - Fax:989-427-3487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009108111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty