Donald Paul Henriques Jr., D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

DC003862L Issued in PA

Practice address

626 S Peach Aly
Suite 102
Elizabethtown, PA 17022-2578

Phone

(717) 367-6224

Fax

(717) 367-6580

NPI assigned

Nov 29, 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

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871660449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 S PEACH ALY",
            "address_2": "SUITE 102",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222578",
            "telephone_number": "717-367-6224",
            "fax_number": "717-367-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 S PEACH ALY",
            "address_2": "SUITE 102",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222578",
            "telephone_number": "717-367-6224",
            "fax_number": "717-367-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIQUES",
        "first_name": "DONALD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC003862L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Hanson
• Neal S Harnly, M.D.
• Heidi L Hauser, MS, OTR/L
• Danielle Hazard, M.D.
• Michele Marie Heffner, MS, LPC
• Phyllis J Herzing
• Julie Hinnenkamp
• Jared Hollingsworth, LMT
• Katherine Holtzapple, DDS
• Home Sweet Home in Home Services

• Sports Physician Chiropractor in Elizabethtown, PA
• Providers in Elizabethtown, PA by specialty
• Sports Physician Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.