Emery, Kevin Jude

Emery, Kevin Jude is an sole proprietor health care provider with primary practice located at 310 N Maple Ave , Ridgewood NJ 07450-2609. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Emery, Kevin Jude can be contacted via phone (201) 447-3707.

Contact Information

Primary practice address
310 N Maple Ave Ridgewood NJ 07450-2609
Phone: (201) 447-3707
Fax: (201) 447-0320
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 38MC00312100 New Jersey
Chiropractic Providers / Sports Physician 111NS0005X X0044501 New York

Profile Details

NPI number 1649341942
LBN Legal business name Emery, Kevin Jude
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1649341942 NPPES
New Jersey Other 0076805 AETNA PROVIDER IDENTIFICA
New Jersey Other 222854051 AETNA PROVIDER IDENTIFICA
New Jersey Other P643830 AETNA PROVIDER IDENTIFICA
New Jersey Other 607510 AETNA PROVIDER IDENTIFICA

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