Dr. Stacey Barbossa
Chiropractic Sports Physician
1637 John F Kennedy Blvd
Jersey City
, New Jersey 07305-1865
Dr. Stacey Barbossa
Chiropractic Sports Physician
1637 John F Kennedy Blvd
Jersey City
, New Jersey 07305-1865
(201) 435-0911
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Stacey Barbossa
- 1637 John F Kennedy Blvd
- Jersey City, NJ
- Zip : 07305-1865
- Fax : (201) 435-0911
- Phone : (201) 435-0900
Second Address
- Dr. Stacey Barbossa
- 1637 John F Kennedy Blvd
- Jersey City, NJ
- Zip : 07305-1865
- Fax : (201) 435-0911
- Phone : (201) 435-0900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 38MC00454600 | NJ |
National Provider Identifier
| NPI | 1033280367 |
|---|---|
| Provider Name | Dr. Stacey Barbossa |
| First Address | Jersey City, NJ 07305-1865 |
| Second Address | Jersey City, NJ 07305-1865 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U52557 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.