Licitra, Joseph J
Licitra, Joseph J is an sole proprietor health care provider with primary practice located at 300 Broadacres Dr Ste 126 , Bloomfield NJ 07003-3153. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Licitra, Joseph J can be contacted via phone (973) 470-0632.Contact Information
Primary practice address
300 Broadacres Dr Ste 126
Bloomfield NJ 07003-3153
Phone: (973) 470-0632
Fax: (973) 893-8259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 38MC00224400 | New Jersey |
Profile Details
| NPI number | 1891795514 |
|---|---|
| LBN Legal business name | Licitra, Joseph J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Sep 16th, 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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