Provider Demographics
NPI:1134261886
Name:HOINOWSKI, CHARLES ALEXANDER (DC)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:ALEXANDER
Last Name:HOINOWSKI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 S MAIN ST
Mailing Address - Street 2:UNIT A
Mailing Address - City:HUGHESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17737-1630
Mailing Address - Country:US
Mailing Address - Phone:570-584-4433
Mailing Address - Fax:
Practice Address - Street 1:420 S MAIN ST
Practice Address - Street 2:UNIT A
Practice Address - City:HUGHESVILLE
Practice Address - State:PA
Practice Address - Zip Code:17737-1630
Practice Address - Country:US
Practice Address - Phone:570-584-4433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007660L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAHO191641OtherBCBS
PA814850OtherFIRST PRIORITY
PA044533QSZMedicare ID - Type Unspecified
PA814850OtherFIRST PRIORITY