Provider Demographics
NPI:1689732356
Name:LETTEER, HUBERT E (DC)
Entity Type:Individual
Prefix:DR
First Name:HUBERT
Middle Name:E
Last Name:LETTEER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 N DECATUR ST
Mailing Address - Street 2:
Mailing Address - City:WATKINS GLEN
Mailing Address - State:NY
Mailing Address - Zip Code:14891
Mailing Address - Country:US
Mailing Address - Phone:607-535-6094
Mailing Address - Fax:607-535-7232
Practice Address - Street 1:1005 N DECATUR ST
Practice Address - Street 2:
Practice Address - City:WATKINS GLEN
Practice Address - State:NY
Practice Address - Zip Code:14891
Practice Address - Country:US
Practice Address - Phone:607-535-6094
Practice Address - Fax:607-535-7232
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0034261111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCC9316Medicare ID - Type Unspecified