Ben-Ezra, Jeffrey Mark

Ben-Ezra, Jeffrey Mark is an individual health care provider with primary practice located at 24 Village Court , Hazlet NJ 07730. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ben-Ezra, Jeffrey Mark can be contacted via phone (732) 888-0595.

Contact Information

Primary practice address
24 Village Court Hazlet NJ 07730
Phone: (732) 888-0595
Fax: (732) 888-8351
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 38MC00463200 New Jersey

Profile Details

NPI number 1053413435
LBN Legal business name Ben-Ezra, Jeffrey Mark
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053413435 NPPES
New Jersey MEDICAID 6455603

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