Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | DC-004674-L | PA |
NPI | 1104900166 |
---|---|
Provider Name | Dr. Frank Howard Hornickel |
First Address | Washington, PA 15301-4914 |
Second Address | Washington, PA 15301-4914 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 08/07/2007 |