Provider Demographics
NPI:1790463750
Name:HEALING CHIRO CARE PC
Entity Type:Organization
Organization Name:HEALING CHIRO CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DC
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:KANNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-207-1559
Mailing Address - Street 1:1300 INDUSTRIAL BLVD FL 1
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-4029
Mailing Address - Country:US
Mailing Address - Phone:215-207-1559
Mailing Address - Fax:
Practice Address - Street 1:1300 INDUSTRIAL BLVD FL 1
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-4029
Practice Address - Country:US
Practice Address - Phone:215-207-1559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty