Penczak, Susan H

Penczak, Susan H is an sole proprietor health care provider with primary practice located at 2041 State Route 35 , Wall Township NJ 07719-3539. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Penczak, Susan H can be contacted via phone (732) 974-7022.

Contact Information

Primary practice address
2041 State Route 35 Wall Township NJ 07719-3539
Phone: (732) 974-7022
Fax: (732) 974-7023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 38MC00554100 New Jersey

Profile Details

NPI number 1477584100
LBN Legal business name Penczak, Susan H
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
Last updated Feb 8th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477584100 NPPES
Other 2281138000 AMERIHEALTH PRACTIC HMO I
Other 2273901000 AMERIHEALTH PRACTIC HMO I
Other P3271421 AMERIHEALTH PRACTIC HMO I

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