Provider Demographics
NPI:1447411905
Name:HANDS ON CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:HANDS ON CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KYUNAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:610-352-4501
Mailing Address - Street 1:58 GARRETT ROAD
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-2303
Mailing Address - Country:US
Mailing Address - Phone:610-352-4501
Mailing Address - Fax:610-352-7090
Practice Address - Street 1:58 GARRETT ROAD
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-2303
Practice Address - Country:US
Practice Address - Phone:610-352-4501
Practice Address - Fax:610-352-7090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-18
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008004L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAHMO 3990755OtherAETNA
PAPPO 7748248OtherAETNA
PAKI1760946OtherBLUE SHIELD
PAKI1760946OtherBLUE SHIELD