Fontanarosa, Domenic A
Fontanarosa, Domenic A is an individual health care provider with primary practice located at 274 Lafayette Avenue , Hawthorne NJ 07506. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fontanarosa, Domenic A can be contacted via phone (973) 423-9600.Contact Information
Primary practice address
274 Lafayette Avenue
Hawthorne NJ 07506
Phone: (973) 423-9600
Fax: (973) 423-0403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 38MC00443500 | New Jersey |
Profile Details
| NPI number | 1619903234 |
|---|---|
| LBN Legal business name | Fontanarosa, Domenic A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Sep 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619903234 | NPPES |
| Other | 611048100 | ACS DEPT OF LABOR |
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