Provider Demographics
NPI:1346280864
Name:DAVID VAN HOEWYK, D.C., PC
Entity Type:Organization
Organization Name:DAVID VAN HOEWYK, D.C., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:C
Authorized Official - Last Name:VAN HOEWYK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:860-646-8632
Mailing Address - Street 1:483 W MIDDLE TPKE
Mailing Address - Street 2:SUITE 223
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-3863
Mailing Address - Country:US
Mailing Address - Phone:860-646-8632
Mailing Address - Fax:860-645-1669
Practice Address - Street 1:483 W MIDDLE TPKE
Practice Address - Street 2:SUITE 223
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-3863
Practice Address - Country:US
Practice Address - Phone:860-646-8632
Practice Address - Fax:860-645-1669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2010-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty