Provider Demographics
NPI:1558345496
Name:HORNAMAN CHIROPRACTIC CENTER INC
Entity type:Organization
Organization Name:HORNAMAN CHIROPRACTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:HORNAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:814-438-7242
Mailing Address - Street 1:107 NORTH MAIN ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16438
Mailing Address - Country:US
Mailing Address - Phone:814-438-7242
Mailing Address - Fax:814-438-7829
Practice Address - Street 1:107 NORTH MAIN ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:PA
Practice Address - Zip Code:16438
Practice Address - Country:US
Practice Address - Phone:814-438-7242
Practice Address - Fax:814-438-7829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005362L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA304095OtherUPMC
PA1012223290001Medicaid
PA1459309OtherHIGHMARK BC BS
PA304095OtherUPMC
PA083225Medicare ID - Type Unspecified