Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | MC002348 | NJ |
NPI | 1003907429 |
---|---|
Provider Name | Dr. Joseph Richard Nies |
First Address | Newfoundland, NJ 07435-1704 |
Second Address | Newfoundland, NJ 07435-1704 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 08/07/2007 |