Provider Demographics
NPI:1619162245
Name:HEALTHFIRST SPECIALTIES, P.A.
Entity Type:Organization
Organization Name:HEALTHFIRST SPECIALTIES, P.A.
Other - Org Name:WELLNESS IN MOTION CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LORENZ
Authorized Official - Middle Name:WOLF
Authorized Official - Last Name:HAMBURGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-659-8777
Mailing Address - Street 1:70452 HIGHWAY 21
Mailing Address - Street 2:SUITE 200-161
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-8116
Mailing Address - Country:US
Mailing Address - Phone:985-871-1189
Mailing Address - Fax:985-871-1184
Practice Address - Street 1:187 GREENBRIAR BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7234
Practice Address - Country:US
Practice Address - Phone:985-871-1189
Practice Address - Fax:985-871-1184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1595111N00000X
LA1376111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
8R5278 AND 0045MCOtherBCBS (IND# AND GRP#)