Provider Demographics
NPI:1447542790
Name:HOMRIGHAUS, AUSTIN CHARLES (MAC, LAC, DIPLAC)
Entity type:Individual
Prefix:MR
First Name:AUSTIN
Middle Name:CHARLES
Last Name:HOMRIGHAUS
Suffix:
Gender:M
Credentials:MAC, LAC, DIPLAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36001 EUCLID AVE
Mailing Address - Street 2:SUITE B-7
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-4643
Mailing Address - Country:US
Mailing Address - Phone:440-251-4754
Mailing Address - Fax:440-306-2606
Practice Address - Street 1:36001 EUCLID AVE
Practice Address - Street 2:SUITE B-7
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-4643
Practice Address - Country:US
Practice Address - Phone:440-251-4754
Practice Address - Fax:440-306-2606
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-04
Last Update Date:2013-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65.000209171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist