Provider Demographics
NPI:1629207444
Name:ACCELERATED CHIROPRACTIC & NATURAL HEALING CENTER, LLC
Entity Type:Organization
Organization Name:ACCELERATED CHIROPRACTIC & NATURAL HEALING CENTER, LLC
Other - Org Name:ACCELERATED CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HAMLING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:320-585-7246
Mailing Address - Street 1:717 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:MN
Mailing Address - Zip Code:56267-1137
Mailing Address - Country:US
Mailing Address - Phone:320-585-7246
Mailing Address - Fax:320-585-7247
Practice Address - Street 1:717 ATLANTIC AVE.
Practice Address - Street 2:
Practice Address - City:MORRIS
Practice Address - State:MN
Practice Address - Zip Code:56267
Practice Address - Country:US
Practice Address - Phone:320-585-7246
Practice Address - Fax:320-585-7247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-14
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty