Provider Demographics
NPI:1619178647
Name:FINSAND, HUMBLE (DC)
Entity Type:Individual
Prefix:
First Name:HUMBLE
Middle Name:
Last Name:FINSAND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1158 W 11625 S
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-7809
Mailing Address - Country:US
Mailing Address - Phone:801-871-0711
Mailing Address - Fax:
Practice Address - Street 1:12227 S BUSINESS PARK DR
Practice Address - Street 2:STE 115
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-8191
Practice Address - Country:US
Practice Address - Phone:801-871-0711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4780212-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor