Formisano, Edward Peter
Formisano, Edward Peter is an sole proprietor health care provider with primary practice located at 32 Budd Ave , Chester NJ 07930-2506. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Formisano, Edward Peter can be contacted via phone (908) 879-8709.Contact Information
Primary practice address
32 Budd Ave
Chester NJ 07930-2506
Phone: (908) 879-8709
Fax: (908) 879-8909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 38MC00363800 | New Jersey |
Profile Details
| NPI number | 1891815098 |
|---|---|
| LBN Legal business name | Formisano, Edward Peter |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891815098 | NPPES |
| New Jersey | MEDICAID | 7006608 |
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