Provider Demographics
NPI:1245759133
Name:HRYCKO CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:HRYCKO CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HRYCKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-542-8001
Mailing Address - Street 1:115 W. MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:MT. PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:15666
Mailing Address - Country:US
Mailing Address - Phone:724-542-8001
Mailing Address - Fax:724-542-8003
Practice Address - Street 1:115 W. MAIN STREET
Practice Address - Street 2:
Practice Address - City:MT. PLEASANT
Practice Address - State:PA
Practice Address - Zip Code:15666
Practice Address - Country:US
Practice Address - Phone:724-542-8001
Practice Address - Fax:724-542-8003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-12
Last Update Date:2017-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004804L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty