Provider Demographics
NPI:1326028465
Name:HAMLIN CHIROPRACTIC CENTER PC
Entity Type:Organization
Organization Name:HAMLIN CHIROPRACTIC CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ZYGMUNT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:570-689-3950
Mailing Address - Street 1:RT 590 AT RT 348
Mailing Address - Street 2:
Mailing Address - City:HAMLIN
Mailing Address - State:PA
Mailing Address - Zip Code:18427
Mailing Address - Country:US
Mailing Address - Phone:570-689-3950
Mailing Address - Fax:570-689-3968
Practice Address - Street 1:RT 590 AT RT 348
Practice Address - Street 2:
Practice Address - City:HAMLIN
Practice Address - State:PA
Practice Address - Zip Code:18427
Practice Address - Country:US
Practice Address - Phone:570-689-3950
Practice Address - Fax:570-689-3968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008742111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA814315OtherFIRST PRIORITY BLUE CROSS
PA2961215OtherAETNA US HEALTHCARE
PAHA1362316OtherBLUE CROSS HIGHMARK
PAHA1362316OtherBLUE CROSS HIGHMARK
PA2961215OtherAETNA US HEALTHCARE