Provider Demographics
NPI:1538341227
Name:HAMLING, RANDY LYNN (DC)
Entity type:Individual
Prefix:DR
First Name:RANDY
Middle Name:LYNN
Last Name:HAMLING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:MN
Mailing Address - Zip Code:56267-1137
Mailing Address - Country:US
Mailing Address - Phone:320-585-7246
Mailing Address - Fax:320-585-7247
Practice Address - Street 1:717 ATLANTIC AVE.
Practice Address - Street 2:
Practice Address - City:MORRIS
Practice Address - State:MN
Practice Address - Zip Code:56267
Practice Address - Country:US
Practice Address - Phone:320-585-7246
Practice Address - Fax:320-585-7247
Is Sole Proprietor?:No
Enumeration Date:2007-12-04
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5033111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor