Provider Demographics
NPI:1841831500
Name:CHIRO ONSITE, LLC
Entity type:Organization
Organization Name:CHIRO ONSITE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:HASANAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC, MS
Authorized Official - Phone:404-919-7404
Mailing Address - Street 1:3031 LIBERTY WAY NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-9388
Mailing Address - Country:US
Mailing Address - Phone:404-919-7404
Mailing Address - Fax:
Practice Address - Street 1:981 JOSEPH E LOWERY BLVD NW STE 102
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-5286
Practice Address - Country:US
Practice Address - Phone:404-919-7404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty