Mruz, Gary R
Mruz, Gary R is an sole proprietor health care provider with primary practice located at 1217 Route 9 Suite 101, Ocean View NJ 08230-1379. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mruz, Gary R can be contacted via phone (609) 390-8772.Contact Information
Primary practice address
1217 Route 9 Suite 101
Ocean View NJ 08230-1379
Phone: (609) 390-8772
Fax: (609) 390-8699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | MC03565 | New Jersey |
Profile Details
| NPI number | 1649218413 |
|---|---|
| LBN Legal business name | Mruz, Gary R |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jul 28th, 2010 - about 14 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 | 1649218413 | NPPES |
| New Jersey | Other | 0162457000 | AMERIHEALTH |
| New Jersey | MEDICAID | 6482708 | AMERIHEALTH |
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