Persichetti, Louis Edward
Persichetti, Louis Edward is an sole proprietor health care provider with primary practice located at 106 Centre Blvd Ste B , Marlton NJ 08053-4131. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Persichetti, Louis Edward can be contacted via phone (856) 596-8484.Contact Information
Primary practice address
106 Centre Blvd Ste B
Marlton NJ 08053-4131
Phone: (856) 596-8484
Fax: (856) 596-7146
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 38MC00269100 | New Jersey |
Profile Details
| NPI number | 1912005539 |
|---|---|
| LBN Legal business name | Persichetti, Louis Edward |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Nov 8th, 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 | 1912005539 | NPPES |
| New Jersey | MEDICAID | 6284906 |
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