Provider Demographics
NPI:1639980196
Name:HOMZA, VINCENT ZACHARY (DC)
Entity type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:ZACHARY
Last Name:HOMZA
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 1:5721 LINGLESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-1118
Mailing Address - Country:US
Mailing Address - Phone:717-541-9311
Mailing Address - Fax:717-540-1211
Practice Address - Street 1:5721 LINGLESTOWN RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17112-1118
Practice Address - Country:US
Practice Address - Phone:717-541-9311
Practice Address - Fax:717-540-1211
Is Sole Proprietor?:No
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC012015111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor