Provider Demographics
NPI:1821872094
Name:HINSHELWOOD AND CRISS LLC
Entity Type:Organization
Organization Name:HINSHELWOOD AND CRISS LLC
Other - Org Name:FRAUM CENTER FOR RESTORATIVE HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HINSHELWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-637-0455
Mailing Address - Street 1:1403 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-1654
Mailing Address - Country:US
Mailing Address - Phone:843-681-7777
Mailing Address - Fax:843-681-7775
Practice Address - Street 1:1403 MAIN ST
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-1654
Practice Address - Country:US
Practice Address - Phone:843-681-7777
Practice Address - Fax:843-681-7775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Single Specialty