Provider Demographics
NPI:1942541883
Name:ASK DR H HEALTHY SOLUTIONS LLC
Entity Type:Organization
Organization Name:ASK DR H HEALTHY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:D
Authorized Official - Last Name:HAZELWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:314-402-5910
Mailing Address - Street 1:5055 HIGHWAY N
Mailing Address - Street 2:STE 105
Mailing Address - City:COTTLEVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63304-8034
Mailing Address - Country:US
Mailing Address - Phone:314-402-5910
Mailing Address - Fax:636-235-4200
Practice Address - Street 1:5055 HIGHWAY N
Practice Address - Street 2:STE 105
Practice Address - City:COTTLEVILLE
Practice Address - State:MO
Practice Address - Zip Code:63304-8034
Practice Address - Country:US
Practice Address - Phone:314-402-5910
Practice Address - Fax:636-235-4200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-01
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006567111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOMA4420Medicare PIN