Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | MC05654 | NJ |
NPI | 1730238015 |
---|---|
Provider Name | Dr. Geoffrey Channon Reed |
First Address | Clinton, NJ 08809-0927 |
Second Address | Clinton, NJ 08809-1305 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0027766 | (05) | NJ |
2070577000 | AMERIHEALTH HMO (01) | NJ |
2070577001 | AMERIHEALTH POS PPO (01) | NJ |
2439666 | AETNA (01) | NJ |
60003558 | INDEPENDENCE BLUE CROSS (01) | NJ |
NJ05654 | LANDMARK HEALTHCARE (01) | NJ |
P2543262 | OXFORD HEALTH PLANS (01) | NJ |
U81835 | (02) | NJ |