Provider Demographics
NPI:1346250909
Name:HOOMANY, JOSEPH RAYMOND (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RAYMOND
Last Name:HOOMANY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 FEASTER RD STE C
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-7113
Mailing Address - Country:US
Mailing Address - Phone:712-251-7346
Mailing Address - Fax:712-251-7346
Practice Address - Street 1:224 FEASTER RD STE C
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-7113
Practice Address - Country:US
Practice Address - Phone:712-251-7346
Practice Address - Fax:712-251-7346
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2081111N00000X
NE1375111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025215900Medicaid
IA0289678Medicaid
NE09586OtherBC/BS
NE10025215900Medicaid
U77786Medicare UPIN