Provider Demographics
NPI:1356195275
Name:HANDS FOR LIFE JACKSON
Entity type:Organization
Organization Name:HANDS FOR LIFE JACKSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:517-750-7790
Mailing Address - Street 1:4821 LANSING AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201-8241
Mailing Address - Country:US
Mailing Address - Phone:517-750-7790
Mailing Address - Fax:
Practice Address - Street 1:4821 LANSING AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-8241
Practice Address - Country:US
Practice Address - Phone:517-750-7790
Practice Address - Fax:517-783-2834
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HANDS FOR LIFE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty