Provider Demographics
NPI:1508052903
Name:HANDS ON HEALTH INC.
Entity Type:Organization
Organization Name:HANDS ON HEALTH INC.
Other - Org Name:FAYETTE CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:ABERNATHY
Authorized Official - Suffix:SR
Authorized Official - Credentials:DC
Authorized Official - Phone:563-425-3341
Mailing Address - Street 1:139 SOUTH MAIN STREET
Mailing Address - Street 2:PO BOX 578
Mailing Address - City:FAYETTE
Mailing Address - State:IA
Mailing Address - Zip Code:52142-9703
Mailing Address - Country:US
Mailing Address - Phone:563-425-3341
Mailing Address - Fax:563-425-3342
Practice Address - Street 1:139 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:FAYETTE
Practice Address - State:IA
Practice Address - Zip Code:52142-9703
Practice Address - Country:US
Practice Address - Phone:563-425-3341
Practice Address - Fax:563-425-3342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA5682261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0104638Medicaid
IA0104638Medicaid
IAI12776Medicare PIN