Provider Demographics
NPI:1699014209
Name:VAN HOEWYK, ANDREW WALTER (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:WALTER
Last Name:VAN HOEWYK
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 1:2241 W HANFORD RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-7030
Mailing Address - Country:US
Mailing Address - Phone:336-270-3050
Mailing Address - Fax:
Practice Address - Street 1:2241 W HANFORD RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-7030
Practice Address - Country:US
Practice Address - Phone:336-270-3050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4342111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor