Provider Demographics
NPI:1629826946
Name:HALSA CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:HALSA CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:HEMGREN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:715-889-3886
Mailing Address - Street 1:1205 PYLE DR
Mailing Address - Street 2:
Mailing Address - City:KINGSFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49802-1132
Mailing Address - Country:US
Mailing Address - Phone:715-889-3886
Mailing Address - Fax:
Practice Address - Street 1:1205 PYLE DR
Practice Address - Street 2:
Practice Address - City:KINGSFORD
Practice Address - State:MI
Practice Address - Zip Code:49802-1132
Practice Address - Country:US
Practice Address - Phone:715-889-3886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty