Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | MC02095 | NJ |
NPI | 1245260678 |
---|---|
Provider Name | Dr. Harry B Schick |
First Address | Highland Park, NJ 08904-1817 |
Second Address | Highland Park, NJ 08904-1817 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 14/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P00377001 | RAILROAD MEDICARE (01) | NJ |