Wayne M Poller in Bergenfield - Chiropractor

Wayne M Poller - NPI 1083699292

Wayne M Poller is a Chiropractor in Bergenfield, New Jersey. Wayne M Poller practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Wayne M Poller is 1083699292. The last update date is 2009-02-04.

Wayne M Poller's current location address is 136 N Washington Avenue, Bergenfield, New Jersey. You can contact this provider via phone number 2013872800 and fax number 2013872248. The mailing address for Wayne M Poller is 136 N Washington Avenue, Bergenfield, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Wayne M Poller
Address 136 N Washington Avenue, Bergenfield, New Jersey
Phone Number 2013872800
Fax Number 2013872248
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1083699292
Provider Enumeration Date 2005-12-09
Last Updated Date 2009-02-04

Provider Mailing Address Detail

Address 136 N Washington Avenue
City Bergenfield
State New Jersey (NJ)
Post Code 7621
Phone Number 2013872800
Fax Number 2013872248

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 38MC00208200
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
350055367 NJ RAILROAD MEDICARE
23792 NJ GHI

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FAQs about Wayne M Poller

Could you provide the complete physical address where Wayne M Poller is located?

The Wayne M Poller is situated at the following address: 136 N Washington Avenue, Bergenfield, NJ, 7621.

What is Wayne M Poller's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Wayne M Poller's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.

What is Wayne M Poller's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Wayne M Poller is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.

On what date did Wayne M Poller receive its 1083699292 assignment from the Centers for Medicare & Medicaid Services?

The Wayne M Poller was assigned its 1083699292 on 2005-12-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Wayne M Poller, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Wayne M Poller, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-02-04.

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