Provider Demographics
NPI:1396975843
Name:HIRSCH, CHELSEA (DC)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:HIRSCH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1465
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-1465
Mailing Address - Country:US
Mailing Address - Phone:972-564-9994
Mailing Address - Fax:972-564-9995
Practice Address - Street 1:205 N BOIS D ARC ST
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-8529
Practice Address - Country:US
Practice Address - Phone:972-564-9994
Practice Address - Fax:972-564-9995
Is Sole Proprietor?:No
Enumeration Date:2009-07-17
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11135111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor