Healthcare Provider Details

I. General information

NPI: 1962555235
Provider Name (Legal Business Name): ROBERT HOMONAI D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 08/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 CROSS ROADS PLZ
MT PLEASANT PA
15666-2288
US

IV. Provider business mailing address

280 CROSS ROADS PLZ
MT PLEASANT PA
15666-2288
US

V. Phone/Fax

Practice location:
  • Phone: 724-547-1800
  • Fax: 724-547-1802
Mailing address:
  • Phone: 724-547-1800
  • Fax: 724-547-1802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberDC002318L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: