MEDICARE: DR. JOHN JOSEPH HONACKI D.C.

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	DC-002304-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	HO-128729	OTHER	PA	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1073519112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN JOSEPH HONACKI D.C.

Provider Business Mailing Address
First Line	:	20280 ROUTE 19
Second Line	:	UNIT 2
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-6125
Country	:	US
Telephone Number	:	724-776-5095
Fax Number	:	724-776-5175

Provider Business Practice Location Address
First Line	:	20280 ROUTE 19
Second Line	:	UNIT 2
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-6125
Country	:	US
Telephone Number	:	724-776-5095
Fax Number	:	724-776-5175

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	07/01/2010

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Directions to “ DR. JOHN JOSEPH HONACKI D.C.” Practice Location

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