Provider Demographics
NPI:1174633473
Name:DAVID HOEWISCH, DC CHIROPRACTIC PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:DAVID HOEWISCH, DC CHIROPRACTIC PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:H
Authorized Official - Last Name:HOEWISCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:408-985-8118
Mailing Address - Street 1:1221 LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-4849
Mailing Address - Country:US
Mailing Address - Phone:408-985-8118
Mailing Address - Fax:408-985-8126
Practice Address - Street 1:1221 LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-4849
Practice Address - Country:US
Practice Address - Phone:408-985-8118
Practice Address - Fax:408-985-8126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty