Individual
PAUL R HETRICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
500 N UNION ST, MIDDLETOWN, PA 17057-1950
(717) 944-2225
(717) 944-0932
Mailing address
500 N UNION ST, MIDDLETOWN, PA 17057-1950
(717) 944-2225
(717) 944-0932
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC001733L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01443101
CBC
—
01
—
HE042796
HIGHMARK
PA
Enumeration date
03/06/2006
Last updated
08/04/2010
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