Provider Demographics
NPI:1245343797
Name:HUTCHINSON, REBECKA H (DC)
Entity type:Individual
Prefix:DR
First Name:REBECKA
Middle Name:H
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5103 OLD ROUTE 119
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601
Mailing Address - Country:US
Mailing Address - Phone:724-834-0250
Mailing Address - Fax:724-834-0251
Practice Address - Street 1:320 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601
Practice Address - Country:US
Practice Address - Phone:724-834-0250
Practice Address - Fax:724-834-0251
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008829111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1424799OtherHIGHMARK GROUP #
PA1432702OtherHIGHMARK PROVIDER #
PAU93415Medicare UPIN
PA065997Medicare ID - Type UnspecifiedMEDICARE PROVIDER #