Provider Demographics
NPI:1871726646
Name:HASSINGER, KEITH MICHAEL (CHIROPRACTOR)
Entity type:Individual
Prefix:
First Name:KEITH
Middle Name:MICHAEL
Last Name:HASSINGER
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12798 ROYALTON RD
Mailing Address - Street 2:
Mailing Address - City:NORTH ROYALTON
Mailing Address - State:OH
Mailing Address - Zip Code:44133-4229
Mailing Address - Country:US
Mailing Address - Phone:440-877-9355
Mailing Address - Fax:440-877-9484
Practice Address - Street 1:12798 ROYALTON RD
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-4229
Practice Address - Country:US
Practice Address - Phone:440-877-9355
Practice Address - Fax:440-877-9484
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-27
Last Update Date:2022-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4017111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor