Provider Demographics
NPI:1023524022
Name:HEMMINGS, RAY J (DC)
Entity type:Individual
Prefix:
First Name:RAY
Middle Name:J
Last Name:HEMMINGS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 N LANSDOWNE AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-1018
Mailing Address - Country:US
Mailing Address - Phone:800-342-1153
Mailing Address - Fax:610-259-3385
Practice Address - Street 1:318 N LANSDOWNE AVE
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-1018
Practice Address - Country:US
Practice Address - Phone:800-342-1153
Practice Address - Fax:610-259-3385
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-28
Last Update Date:2017-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009010L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor