Provider Demographics
NPI:1881850048
Name:JOHN D HEMAUER DC A PROF CHIROPRACTIC CORP
Entity Type:Organization
Organization Name:JOHN D HEMAUER DC A PROF CHIROPRACTIC CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:HEMAUER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:562-945-2305
Mailing Address - Street 1:12640 WHITTIER BLVD
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-2926
Mailing Address - Country:US
Mailing Address - Phone:562-945-2305
Mailing Address - Fax:
Practice Address - Street 1:12640 WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-2926
Practice Address - Country:US
Practice Address - Phone:562-945-2305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-06
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC9175111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC9175Medicare PIN