Lubertazzo, George J
Lubertazzo, George J is an sole proprietor health care provider with primary practice located at 39 Meadow Rd , Rutherford NJ 07070-2009. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lubertazzo, George J can be contacted via phone (201) 896-0068.Contact Information
Primary practice address
39 Meadow Rd
Rutherford NJ 07070-2009
Phone: (201) 896-0068
Fax: (201) 842-1709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 38MC00354700 | New Jersey |
Profile Details
| NPI number | 1033251640 |
|---|---|
| LBN Legal business name | Lubertazzo, George J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Jan 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033251640 | NPPES |
| New York | Other | X5732 | EMPIRE BC/BS |
| New York | Other | 01095111 | EMPIRE BC/BS |
| New York | MEDICAID | 1088009 | EMPIRE BC/BS |
| New York | Other | P634221 | EMPIRE BC/BS |
| New York | Other | 0004369333 | EMPIRE BC/BS |
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