Stiso, Richard A.

Stiso, Richard A. is an sole proprietor health care provider with primary practice located at 81 Ridgedale Ave , Florham Park NJ 07932-2004. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Stiso, Richard A. can be contacted via phone (973) 822-1317.

Contact Information

Primary practice address
81 Ridgedale Ave Florham Park NJ 07932-2004
Phone: (973) 822-1317
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 38MC00134300 New Jersey

Profile Details

NPI number 1124028139
LBN Legal business name Stiso, Richard A.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2005
Last updated Sep 22nd, 2011 - about 13 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 1124028139 NPPES
New Jersey Other X40481 WELL CHOICE
New Jersey MEDICAID 5333300 WELL CHOICE
New Jersey Other 561794 WELL CHOICE
New Jersey Other 0885115 WELL CHOICE
New Jersey Other 593175 WELL CHOICE
New Jersey Other MC01343 WELL CHOICE
New Jersey Other P421418 WELL CHOICE
New Jersey Other 0103700000 WELL CHOICE

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