Provider Demographics
NPI:1881899383
Name:DR . NORMAN R. HUERTGEN
Entity type:Organization
Organization Name:DR . NORMAN R. HUERTGEN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUERTGEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:215-233-6880
Mailing Address - Street 1:711 BETHLEHEM PIKE
Mailing Address - Street 2:
Mailing Address - City:ERDENHEIM
Mailing Address - State:PA
Mailing Address - Zip Code:19038-8114
Mailing Address - Country:US
Mailing Address - Phone:215-233-6880
Mailing Address - Fax:
Practice Address - Street 1:711 BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:ERDENHEIM
Practice Address - State:PA
Practice Address - Zip Code:19038-8114
Practice Address - Country:US
Practice Address - Phone:215-233-6880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005334L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2244608000OtherIBC