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
Phone: (201) 567-0700
Fax: (201) 567-3705
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003961004 | NPPES |
New Jersey | MEDICAID | 5451001 |
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