Healthcare Provider Details
I. General information
NPI: 1326176959
Provider Name (Legal Business Name): HUSS CHIROPRACTIC HEALTH CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11347 ROUTE 30 SUITE #3
NORTH HUNTINGDON PA
15642
US
IV. Provider business mailing address
11347 ROUTE 30 SUITE #3
NORTH HUNTINGDON PA
15642
US
V. Phone/Fax
- Phone: 724-863-8500
- Fax: 724-863-1596
- Phone: 724-863-8500
- Fax: 724-863-1596
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC005780L |
| License Number State | PA |
VIII. Authorized Official
Name: DR.
MARK
CHARLES
HUSS
Title or Position: PRESIDENT
Credential: D.C.
Phone: 724-863-8500