Provider Demographics
NPI: | 1922035468 |
---|---|
Name: | HEALING HANDS CHIROPRACTIC |
Entity Type: | Organization |
Organization Name: | HEALING HANDS CHIROPRACTIC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER/PARTNER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | SIDHARTH |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | VERMA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DC |
Authorized Official - Phone: | 510-654-8547 |
Mailing Address - Street 1: | 3318 ELM ST STE B |
Mailing Address - Street 2: | |
Mailing Address - City: | OAKLAND |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 94609-3001 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 510-654-8547 |
Mailing Address - Fax: | 510-654-9247 |
Practice Address - Street 1: | 3318 ELM ST STE B |
Practice Address - Street 2: | |
Practice Address - City: | OAKLAND |
Practice Address - State: | CA |
Practice Address - Zip Code: | 94609-3001 |
Practice Address - Country: | US |
Practice Address - Phone: | 510-654-8547 |
Practice Address - Fax: | 510-654-9247 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-06-28 |
Last Update Date: | 2021-03-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CA | DC27962 | 111N00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 111N00000X | Chiropractic Providers | Chiropractor | Group - Single Specialty |