Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 38MC00227700 | NJ |
N | 111NI0013X | Independent Medical Examiner | 38MC00227700 | NJ |
N | 111NN1001X | Nutrition | 38MC00227700 | NJ |
N | 111NR0400X | Rehabilitation Chiropractor | 38MC00227700 | NJ |
NPI | 1477988699 |
---|---|
Provider Name | Dr. Robert Steven Saltiel |
First Address | Stroudsburg, PA 18360-0744 |
Second Address | Stroudsburg, PA 18360-6539 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2013 |
Last Update Date | 06/09/2013 |