Provider Demographics
NPI:1497941223
Name:HENGEL FAMILY CHIROPRACTIC PA
Entity Type:Organization
Organization Name:HENGEL FAMILY CHIROPRACTIC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HENGEL
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:941-629-0500
Mailing Address - Street 1:24901 SANDHILL BLVD UNIT 8
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33983-5207
Mailing Address - Country:US
Mailing Address - Phone:941-629-0500
Mailing Address - Fax:
Practice Address - Street 1:24901 SANDHILL BLVD UNIT 8
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33983-5207
Practice Address - Country:US
Practice Address - Phone:941-629-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-14
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8795111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty