Eric Roy Von Der Lieth in Park Ridge - Chiropractor
Eric Roy Von Der Lieth - NPI 1386674752
Eric Roy Von Der Lieth is a Chiropractor in Park Ridge, New Jersey. Eric Roy Von Der Lieth practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Eric Roy Von Der Lieth is 1386674752. The last update date is 2007-07-08.
Eric Roy Von Der Lieth's current location address is 43 Hawthorne Ave, Park Ridge, New Jersey. You can contact this provider via phone number 2015051600. The mailing address for Eric Roy Von Der Lieth is 43 Hawthorne Ave, Park Ridge, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Roy Von Der Lieth |
|---|---|
| Address | 43 Hawthorne Ave, Park Ridge, New Jersey |
| Phone Number | 2015051600 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1386674752 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 43 Hawthorne Ave |
|---|---|
| City | Park Ridge |
| State | New Jersey (NJ) |
| Post Code | 76561249 |
| Phone Number | 2015051600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38MC00496900 |
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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 |
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What is the Eric Roy Von Der Lieth's 1386674752?
The Eric Roy Von Der Lieth's NPI (National Provider Identifier) Number is 1386674752. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Eric Roy Von Der Lieth's physical address?
The Eric Roy Von Der Lieth is physically located at 43 Hawthorne Ave, in the city of Park Ridge, NJ, with the postal code 76561249.
What is Eric Roy Von Der Lieth's specialized field of practice, and what is the corresponding taxonomy classification code?
The Eric Roy Von Der Lieth's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1386674752 to Eric Roy Von Der Lieth?
The Centers for Medicare & Medicaid Services originally issued the 1386674752 to Eric Roy Von Der Lieth on 2006-07-03.
As of what date were the Eric Roy Von Der Lieth's details last updated?
The information pertaining to the Eric Roy Von Der Lieth, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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