Provider Demographics
NPI:1912699513
Name:ANGEL HANDS CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:ANGEL HANDS CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GASPAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:919-341-9298
Mailing Address - Street 1:1624 FOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-4124
Mailing Address - Country:US
Mailing Address - Phone:201-456-8286
Mailing Address - Fax:
Practice Address - Street 1:1624 FOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-4124
Practice Address - Country:US
Practice Address - Phone:919-341-9298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty