Provider Demographics
NPI:1629349451
Name:JERRY I. HOCHMAN, CHIRORPACTOR PC
Entity Type:Organization
Organization Name:JERRY I. HOCHMAN, CHIRORPACTOR PC
Other - Org Name:AMERICARE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:IRWIN
Authorized Official - Last Name:HOCHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-565-1212
Mailing Address - Street 1:4180 PROVIDENCE RD
Mailing Address - Street 2:SUITE 113
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-6186
Mailing Address - Country:US
Mailing Address - Phone:770-565-1212
Mailing Address - Fax:770-565-2953
Practice Address - Street 1:4180 PROVIDENCE RD
Practice Address - Street 2:SUITE 113
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-6186
Practice Address - Country:US
Practice Address - Phone:770-565-1212
Practice Address - Fax:770-565-2953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR002037261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCBQGMedicare PIN