MEDICARE: HORNAMAN CHIROPRACTIC CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC005362L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	304095	OTHER	PA	UPMC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1459309	OTHER	PA	HIGHMARK BC BS

General Provider Information

NPI Number	:	1558345496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORNAMAN CHIROPRACTIC CENTER INC

Provider Business Mailing Address
First Line	:	107 NORTH MAIN ST
Second Line	:
City	:	UNION CITY
State	:	PA
Zip	:	16438
Country	:	US
Telephone Number	:	814-438-7242
Fax Number	:	814-438-7829

Provider Business Practice Location Address
First Line	:	107 NORTH MAIN ST
Second Line	:
City	:	UNION CITY
State	:	PA
Zip	:	16438
Country	:	US
Telephone Number	:	814-438-7242
Fax Number	:	814-438-7829

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. THOMAS J HORNAMAN
Credential	:	DC
Telephone Number	:	814-438-7242

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	08/22/2020

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