Provider Demographics
NPI:1821267105
Name:HANDS ON CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:HANDS ON CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:C
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:607-936-7871
Mailing Address - Street 1:56 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830-2239
Mailing Address - Country:US
Mailing Address - Phone:607-936-7871
Mailing Address - Fax:607-936-7893
Practice Address - Street 1:56 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830-2239
Practice Address - Country:US
Practice Address - Phone:607-936-7871
Practice Address - Fax:607-936-7893
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty