Provider Demographics
NPI:1548213507
Name:HOMETOWN CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:HOMETOWN CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:R G
Authorized Official - Last Name:TRATO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:989-737-8620
Mailing Address - Street 1:PO BOX 205
Mailing Address - Street 2:
Mailing Address - City:VASSAR
Mailing Address - State:MI
Mailing Address - Zip Code:48768-0205
Mailing Address - Country:US
Mailing Address - Phone:989-823-7729
Mailing Address - Fax:898-231-0249
Practice Address - Street 1:195 E HURON AVE
Practice Address - Street 2:
Practice Address - City:VASSAR
Practice Address - State:MI
Practice Address - Zip Code:48768-1312
Practice Address - Country:US
Practice Address - Phone:989-823-7729
Practice Address - Fax:989-823-1024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009029111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty