Provider Demographics
NPI:1346250909
Name:HOOMANY, JOSEPH RAYMOND (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RAYMOND
Last Name:HOOMANY
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 1:3921 SC-14
Mailing Address - Street 2:SUITE B
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-7113
Mailing Address - Country:US
Mailing Address - Phone:864-477-3910
Mailing Address - Fax:
Practice Address - Street 1:3921 SC-14
Practice Address - Street 2:SUITE B
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615
Practice Address - Country:US
Practice Address - Phone:864-477-3910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1375111N00000X
SC2081111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE09586OtherBC/BS
NE10025215900Medicaid
IA0289678Medicaid
NE10025215900Medicaid
U77786Medicare UPIN