Provider Demographics
NPI:1396755849
Name:HOUZE, NORMAN J (DC)
Entity type:Individual
Prefix:
First Name:NORMAN
Middle Name:J
Last Name:HOUZE
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 1:2501 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47401-5344
Mailing Address - Country:US
Mailing Address - Phone:812-332-6427
Mailing Address - Fax:812-332-6307
Practice Address - Street 1:2501 E 3RD ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47401-5344
Practice Address - Country:US
Practice Address - Phone:812-332-6427
Practice Address - Fax:812-332-6307
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08000606111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
INHO543Medicare UPIN
INHO543060Medicare ID - Type Unspecified