Provider Demographics
NPI:1821008368
Name:HINEBAUGH, MARGERY GAIL (DC)
Entity Type:Individual
Prefix:DR
First Name:MARGERY
Middle Name:GAIL
Last Name:HINEBAUGH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MARGERY
Other - Middle Name:GAIL
Other - Last Name:HINEBAUGH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 153
Mailing Address - Street 2:
Mailing Address - City:DUSHORE
Mailing Address - State:PA
Mailing Address - Zip Code:18614-0153
Mailing Address - Country:US
Mailing Address - Phone:570-928-7797
Mailing Address - Fax:570-928-9772
Practice Address - Street 1:217 S GERMAN ST
Practice Address - Street 2:
Practice Address - City:DUSHORE
Practice Address - State:PA
Practice Address - Zip Code:18614-0153
Practice Address - Country:US
Practice Address - Phone:570-928-7797
Practice Address - Fax:570-928-9772
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301006060111N00000X
PADC005239L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA826381OtherFIRST PRIORITY HEALTH
PA001741061OtherFIRST PRIORITY LIFE/FPLIC TRADITIONAL
PA0009636602OtherAETNA
PA001741061OtherFIRST PRIORITY LIFE/FPLIC PPO
PAVO5778Medicare UPIN
PA0009636602OtherAETNA