Provider Demographics
NPI:1104900166
Name:HORNICKEL, FRANK HOWARD (DC)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:HOWARD
Last Name:HORNICKEL
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 1:132 E MAIDEN ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-4914
Mailing Address - Country:US
Mailing Address - Phone:724-228-8600
Mailing Address - Fax:724-228-8690
Practice Address - Street 1:132 E MAIDEN ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4914
Practice Address - Country:US
Practice Address - Phone:724-228-8600
Practice Address - Fax:724-228-8690
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-004674-L111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA088340Medicare ID - Type UnspecifiedGROUP NUMBER