Organization
HANDS FOR HEALTH FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LOUIS JACKSON JR. D.C. (PRESIDENT/ SOLE MEMBER)
(717) 558-8110
Entity
Organization
Contact information
Practice address
7841 PAXTON ST, HARRISBURG, PA 17111-5426
(717) 558-8110
(717) 558-8115
Mailing address
7841 PAXTON ST, HARRISBURG, PA 17111-5426
(717) 558-8110
(717) 558-8115
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009870
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346423456
MEDICARE INDIVIDUAL NPI
PA
01
—
135370
MEDICARE PTAN
PA
Enumeration date
02/05/2014
Last updated
02/05/2014
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