Doctor Name: | DR. ANDREW JOSEPH HOSPODAR |
NPI Number: | 1275933608 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C., M.S., L.AC. |
License Number: | DC4453 |
Business Practice Address: | 1265 Boardman Canfield Rd Boardman, OH - 445124004 |
Business Phone Number: | 3307589400 |
Business Fax Number: | 3307268676 |
Mailing Address: | 1265 Boardman Canfield Rd, BOARDMAN |
State: | OH |
Postal Code: | 445124004 |
Phone Number: | 3307589400 |
Fax Number: | 3307268676 |
NPI Enumeration Date: | 09/04/2014 |
NPI Last Update Date: | 05/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC4453 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
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. |