Sean Kim, DC | |
232 Broad Ave, #2b, Palisades Park, NJ 07650 | |
(201) 613-5599 | |
Not Available |
Full Name | Sean Kim |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 232 Broad Ave, Palisades Park, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558862284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 013072 (New York) | Secondary |
111N00000X | Chiropractor | 38MC00777100 (New Jersey) | Primary |
Provider Name | Inspire Chiropractic Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861083586 PECOS PAC ID: 1456768076 Enrollment ID: O20210329000061 |
Mailing Address | Practice Location Address |
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Sean Kim, DC 232 Broad Ave Ste 202, Palisades Park, NJ 07650-1565 Ph: (201) 562-5405 | Sean Kim, DC 232 Broad Ave, #2b, Palisades Park, NJ 07650 Ph: (201) 613-5599 |
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