Provider Demographics
NPI:1528066982
Name:HOOBIN, JOELLEN K (DC)
Entity type:Individual
Prefix:DR
First Name:JOELLEN
Middle Name:K
Last Name:HOOBIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JOELLEN
Other - Middle Name:K
Other - Last Name:HALTEMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:8 GLOCKER WAY
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19465-9649
Mailing Address - Country:US
Mailing Address - Phone:610-718-1183
Mailing Address - Fax:610-718-5512
Practice Address - Street 1:8 GLOCKER WAY
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19465-9649
Practice Address - Country:US
Practice Address - Phone:610-718-1183
Practice Address - Fax:610-718-5512
Is Sole Proprietor?:No
Enumeration Date:2005-07-11
Last Update Date:2009-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004698L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA666857Medicare PIN
PAU16494Medicare UPIN