Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 38MC00515600 | NJ |
NPI | 1053340844 |
---|---|
Provider Name | John Michael Furey |
First Address | Toms River, NJ 08755-5038 |
Second Address | Toms River, NJ 08755-5038 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 26/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0086592 | (05) | NJ |
U73896 | (02) | NJ |