Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 38MC00400800 | NJ |
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 38MC00400800 | NJ |
NPI | 1609990720 |
---|---|
Provider Name | Dr. David Walter Schlingloff |
First Address | Warren, NJ 07059-5716 |
Second Address | Warren, NJ 07059-5716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 06/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T38601 | (02) | NJ |