MEDICARE: HUSS CHIROPRACTIC CLINIC, 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	DC007151L	PA

General Provider Information

NPI Number	:	1831225747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUSS CHIROPRACTIC CLINIC, INC.

Provider Business Mailing Address
First Line	:	423 N CHESTNUT ST
Second Line	:
City	:	DERRY
State	:	PA
Zip	:	15627-1660
Country	:	US
Telephone Number	:	724-694-5595
Fax Number	:	724-539-4075

Provider Business Practice Location Address
First Line	:	423 N CHESTNUT ST
Second Line	:
City	:	DERRY
State	:	PA
Zip	:	15627-1660
Country	:	US
Telephone Number	:	724-694-5595
Fax Number	:	724-539-4075

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DEAN R HUSS
Credential	:	DC
Telephone Number	:	724-694-5595

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	08/22/2020

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