Provider Demographics
NPI:1013091610
Name:HOMZA CHIROPRACTIC WELLNESS AND REHAB
Entity Type:Organization
Organization Name:HOMZA CHIROPRACTIC WELLNESS AND REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEE
Authorized Official - Middle Name:LESSARD
Authorized Official - Last Name:HOMZA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-541-9311
Mailing Address - Street 1:HOMZA CHIROPRACTIC WELLNESS AND REHAB
Mailing Address - Street 2:5721 LINGLESTOWN RD.
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112
Mailing Address - Country:US
Mailing Address - Phone:717-541-9311
Mailing Address - Fax:717-540-1211
Practice Address - Street 1:HOMZA CHIROPRACTIC WELLNESS AND REHAB
Practice Address - Street 2:5721 LINGLESTOWN ROAD
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112
Practice Address - Country:US
Practice Address - Phone:717-541-9311
Practice Address - Fax:717-540-1211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA197339Medicare PIN