Provider Demographics
NPI:1730390964
Name:HOMA, ERIC JAMES (DC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:JAMES
Last Name:HOMA
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 1:200 E ARCH ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:POTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17901-2982
Mailing Address - Country:US
Mailing Address - Phone:570-622-0809
Mailing Address - Fax:570-628-5080
Practice Address - Street 1:200 E ARCH ST
Practice Address - Street 2:SUITE 102
Practice Address - City:POTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17901-2982
Practice Address - Country:US
Practice Address - Phone:570-622-0809
Practice Address - Fax:570-628-5080
Is Sole Proprietor?:No
Enumeration Date:2007-05-28
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVBO1222111N00000X
TX13963111N00000X
PADC010648111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor