Provider Demographics
NPI:1912934282
Name:HAMBURGER, ERICA MANGER (DC)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:MANGER
Last Name:HAMBURGER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 POTTERS MILL TRL
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA
Mailing Address - State:FL
Mailing Address - Zip Code:32081-1201
Mailing Address - Country:US
Mailing Address - Phone:504-251-1128
Mailing Address - Fax:
Practice Address - Street 1:271 POTTERS MILL TRL
Practice Address - Street 2:
Practice Address - City:PONTE VEDRA
Practice Address - State:FL
Practice Address - Zip Code:32081-1201
Practice Address - Country:US
Practice Address - Phone:504-251-1128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10850111N00000X
LA1376111N00000X
FLCH13996111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4H579Medicare ID - Type Unspecified
V06082Medicare UPIN