Pine, Alan S

Pine, Alan S is an sole proprietor health care provider with primary practice located at 151 N Dean St , Englewood NJ 07631-2501. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Pine, Alan S can be contacted via phone (201) 567-0700.

Contact Information

Primary practice address
151 N Dean St Englewood NJ 07631-2501
Fax: (201) 567-3705
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 38MC00131400 New Jersey

Profile Details

NPI number 1003961004
LBN Legal business name Pine, Alan S
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Sep 11th, 2007 - 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 1003961004 NPPES
New Jersey MEDICAID 5451001

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