Paul R Hetrick Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC001733L Issued in PA

Practice address

500 N Union St
Middletown, PA 17057-1950

Phone

(717) 944-2225

Fax

(717) 944-0932

NPI assigned

Mar 6, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1346217650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N UNION ST",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170571950",
            "telephone_number": "717-944-2225",
            "fax_number": "717-944-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N UNION ST",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170571950",
            "telephone_number": "717-944-2225",
            "fax_number": "717-944-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETRICK",
        "first_name": "PAUL",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-06",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001733L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBC",
            "identifier": "01443101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "HE042796",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl Heffermehl
• Deborah J Herchelroath, D.O.
• Priscilla Herd, MASSAGE THERAPIST
• Hetrick Center PC
• Kimberly Lynn Hetrick, PTA
• Edward L Hevner, DC
• Renee Heyden, P.A.-C
• Hidden Springs Integrative Health, LLC
• Charlene Brindle Hobbie, DC
• Rachel Holly, BSW

• Chiropractor in Middletown, PA
• Providers in Middletown, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.