Tejada, Manola
Tejada, Manola is an individual health care provider with primary practice located at 319 Barrow St Suite 1A , Jersey City NJ 07302-3579. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Tejada, Manola can be contacted via phone (201) 433-2096.Contact Information
Primary practice address
319 Barrow St Suite 1A
Jersey City NJ 07302-3579
Phone: (201) 433-2096
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 38MC00394800 | New Jersey |
| Chiropractic Providers / Chiropractor | 111N00000X | X006138-1 | New York |
| Chiropractic Providers / Chiropractor | 111N00000X | 1388 | South Carolina |
Profile Details
| NPI number | 1558459727 |
|---|---|
| LBN Legal business name | Tejada, Manola |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Oct 19th, 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 | 1558459727 | NPPES |
| New Jersey | MEDICAID | 1926802 | |
| New Jersey | Other | 01000765100 | |
| New Jersey | Other | 58088600 | |
| New Jersey | Other | UNITED HEALTH CARE | |
| New Jersey | Other | 36513 |
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