Provider Demographics
NPI:1619443272
Name:FAMILY CHIROPRACTIC CENTER OF COLDWATER
Entity Type:Organization
Organization Name:FAMILY CHIROPRACTIC CENTER OF COLDWATER
Other - Org Name:HAMMEL CHIROPRACTIC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SOLDANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:517-278-7543
Mailing Address - Street 1:173 E CHICAGO ST
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:MI
Mailing Address - Zip Code:49036-1703
Mailing Address - Country:US
Mailing Address - Phone:517-278-7543
Mailing Address - Fax:
Practice Address - Street 1:173 E CHICAGO ST
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-1703
Practice Address - Country:US
Practice Address - Phone:517-278-7543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty