Doctor Name: | MS. DEIRDRE J HUBER |
NPI Number: | 1043200298 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 9593 |
Business Practice Address: | 42581 Route 6 Wyalusing, PA - 18853 |
Business Phone Number: | 5707463749 |
Business Fax Number: | |
Mailing Address: | Po Box 279, 42581 Route 6 WYALUSING |
State: | PA |
Postal Code: | 188530279 |
Phone Number: | 5707463749 |
Fax Number: | 5707460918 |
NPI Enumeration Date: | 10/27/2005 |
NPI Last Update Date: | 09/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 9593 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |