Provider Demographics
NPI:1922639798
Name:HSINVESTSF
Entity Type:Organization
Organization Name:HSINVESTSF
Other - Org Name:CHIROSOURCE MADISON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:TYLER
Authorized Official - Last Name:HIGDON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:256-270-9413
Mailing Address - Street 1:34 HUGHES RD STE C
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-3000
Mailing Address - Country:US
Mailing Address - Phone:256-270-9413
Mailing Address - Fax:
Practice Address - Street 1:34 HUGHES RD STE C
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-3000
Practice Address - Country:US
Practice Address - Phone:256-270-9413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-30
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty