Czupak, Michael Roman

Czupak, Michael Roman is an individual health care provider with primary practice located at 1037 Route 46 Ste 203 , Clifton NJ 07013-2459. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Czupak, Michael Roman can be contacted via phone (973) 812-0202.

Contact Information

Primary practice address
1037 Route 46 Ste 203 Clifton NJ 07013-2459
Phone: (973) 812-0202
Fax: (973) 812-0505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 38MC00628700 New Jersey

Profile Details

NPI number 1205883600
LBN Legal business name Czupak, Michael Roman
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Sep 27th, 2022 - about 2 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 1205883600 NPPES
New Jersey Other 1748300P EMBLEM HEALTH PROVIDER
New Jersey MEDICAID 0637432 EMBLEM HEALTH PROVIDER
New Jersey Other 2577448 EMBLEM HEALTH PROVIDER
New Jersey Other 60192386 EMBLEM HEALTH PROVIDER

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