Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 38MC00654500 | NJ |
NPI | 1306063888 |
---|---|
Provider Name | Dr. Jacqueline Suzanne Strueby |
First Address | Jackson, NJ 08527-2015 |
Second Address | Jackson, NJ 08527-2015 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2007 |
Last Update Date | 08/07/2007 |