Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 1788 | NJ |
NPI | 1023155264 |
---|---|
Provider Name | Dr. Anthony Albert Schlachter |
First Address | Rutherford, NJ 07070-2748 |
Second Address | Rutherford, NJ 07070-2748 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 08/07/2007 |