Provider Demographics
NPI:1316971211
Name:HUY, JOHN N (DC DACBN)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:N
Last Name:HUY
Suffix:
Gender:M
Credentials:DC DACBN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E TARPON AVE
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34689-4322
Mailing Address - Country:US
Mailing Address - Phone:727-934-0844
Mailing Address - Fax:727-942-2072
Practice Address - Street 1:400 E TARPON AVE
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34689-4322
Practice Address - Country:US
Practice Address - Phone:727-934-0844
Practice Address - Fax:727-942-2072
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6446111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
38401OtherBCBS GRP
22860OtherBCBS IND
22860ZMedicare ID - Type UnspecifiedIND
22860OtherBCBS IND
U40942Medicare UPIN