Collazo, Glenn Nicholas

Collazo, Glenn Nicholas is an sole proprietor health care provider with primary practice located at 12 Wortendyke Rd , Park Ridge NJ 07656-2046. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Collazo, Glenn Nicholas can be contacted via phone (201) 750-7246.

Contact Information

Primary practice address
12 Wortendyke Rd Park Ridge NJ 07656-2046
Fax: (201) 497-6614
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 38MC00430900 New Jersey

Profile Details

NPI number 1376513051
LBN Legal business name Collazo, Glenn Nicholas
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2006
Last updated Jul 5th, 2011 - about 13 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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