Provider Demographics
NPI:1568800704
Name:HESSELBERG HUFFMAN CHIROPRACTIC
Entity Type:Organization
Organization Name:HESSELBERG HUFFMAN CHIROPRACTIC
Other - Org Name:HESSELBERG CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HUFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:734-677-0111
Mailing Address - Street 1:4039 CARPENTER RD
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-9272
Mailing Address - Country:US
Mailing Address - Phone:734-677-0111
Mailing Address - Fax:734-677-0135
Practice Address - Street 1:4039 CARPENTER RD
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-9272
Practice Address - Country:US
Practice Address - Phone:734-677-0111
Practice Address - Fax:734-677-0135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-10
Last Update Date:2013-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty