Demoulin, Ellen T

Demoulin, Ellen T is an individual health care provider with primary practice located at 52 Tuckahoe Rd , Marmora NJ 08223. She recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as her primary health care specialty. Demoulin, Ellen T can be contacted via phone (609) 390-8490.

Contact Information

Primary practice address
52 Tuckahoe Rd Marmora NJ 08223
Fax: (609) 845-1850
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 38MC00336900 New Jersey

Profile Details

NPI number 1497844534
LBN Legal business name Demoulin, Ellen T
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Oct 6th, 2014 - about 10 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 1497844534 NPPES
Other 038977RSV MEDICARE PTAN

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