Provider Demographics
NPI:1104968833
Name:HUGHESVILLE CHIROPRACTIC P.C.
Entity type:Organization
Organization Name:HUGHESVILLE CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:HOINOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:570-584-4433
Mailing Address - Street 1:420 S MAIN ST
Mailing Address - Street 2:UNIT A
Mailing Address - City:HUGHESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17737-1630
Mailing Address - Country:US
Mailing Address - Phone:570-584-4433
Mailing Address - Fax:
Practice Address - Street 1:420 S MAIN ST
Practice Address - Street 2:UNIT A
Practice Address - City:HUGHESVILLE
Practice Address - State:PA
Practice Address - Zip Code:17737-1630
Practice Address - Country:US
Practice Address - Phone:570-584-4433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007660L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA220781OtherFIRST PRIORITY
PAHU1385472OtherBCBS
PAX76120Medicare UPIN
PA220781OtherFIRST PRIORITY