Provider Demographics
NPI:1366883118
Name:HEPAK, ALISHIA ANN (DC)
Entity type:Individual
Prefix:
First Name:ALISHIA
Middle Name:ANN
Last Name:HEPAK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 N HERMITAGE RD
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-3345
Mailing Address - Country:US
Mailing Address - Phone:724-983-0442
Mailing Address - Fax:724-979-6303
Practice Address - Street 1:155 N HERMITAGE RD
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-3345
Practice Address - Country:US
Practice Address - Phone:724-983-0442
Practice Address - Fax:724-979-6303
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-09
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010755111N00000X
PA010755111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor