Provider Demographics
NPI:1801045620
Name:HONEOYE CHIROPRACTIC
Entity Type:Organization
Organization Name:HONEOYE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DILLSWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:585-229-0404
Mailing Address - Street 1:2 HONEOYE CMNS
Mailing Address - Street 2:PO BOX 72
Mailing Address - City:HONEOYE
Mailing Address - State:NY
Mailing Address - Zip Code:14471-8807
Mailing Address - Country:US
Mailing Address - Phone:585-229-0404
Mailing Address - Fax:585-229-5295
Practice Address - Street 1:2 HONEOYE CMNS
Practice Address - Street 2:
Practice Address - City:HONEOYE
Practice Address - State:NY
Practice Address - Zip Code:14471-8807
Practice Address - Country:US
Practice Address - Phone:585-229-0404
Practice Address - Fax:585-299-5295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX4411111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty