Provider Demographics
NPI:1346507431
Name:METTA CHIROPRACTIC PC
Entity Type:Organization
Organization Name:METTA CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:M
Authorized Official - Last Name:HUTCHINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:845-758-5507
Mailing Address - Street 1:17 GLEN POND DR
Mailing Address - Street 2:SUITE 4
Mailing Address - City:RED HOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12571-1840
Mailing Address - Country:US
Mailing Address - Phone:845-758-5507
Mailing Address - Fax:845-758-5511
Practice Address - Street 1:17 GLEN POND DR
Practice Address - Street 2:SUITE 4
Practice Address - City:RED HOOK
Practice Address - State:NY
Practice Address - Zip Code:12571-1840
Practice Address - Country:US
Practice Address - Phone:845-758-5507
Practice Address - Fax:945-758-5511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011239111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty