Precision Spine And Sport | |
384 Shunpike Rd, Chatham, NJ 07928-1659 | |
(973) 525-7213 | |
Not Available |
Full Name | Precision Spine And Sport |
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Type | Facility |
Speciality | Chiropractor |
Location | 384 Shunpike Rd, Chatham, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760906531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 38MC00735600 (New Jersey) | Primary |
111NS0005X | Chiropractor - Sports Physician | 38MC00735600 (New Jersey) | Secondary |
Provider Name | David L Dijkstra |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1578011235 PECOS PAC ID: 7911281704 Enrollment ID: I20170222001670 |
Mailing Address | Practice Location Address |
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Precision Spine And Sport 10 Corey Ln, Mendham, NJ 07945-3309 Ph: (973) 525-7213 | Precision Spine And Sport 384 Shunpike Rd, Chatham, NJ 07928-1659 Ph: (973) 525-7213 |
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