Stacey Barbossa in Jersey City - Sports Physician

Stacey Barbossa - NPI 1033280367

Stacey Barbossa is a Sports Physician in Jersey City, New Jersey. Stacey Barbossa practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Stacey Barbossa is 1033280367. The last update date is 2007-07-08.

Stacey Barbossa's current location address is 1637 John F Kennedy Blvd, Jersey City, New Jersey. You can contact this provider via phone number 2014350900 and fax number 2014350911. The mailing address for Stacey Barbossa is 1637 John F Kennedy Blvd, Jersey City, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacey Barbossa
Address 1637 John F Kennedy Blvd, Jersey City, New Jersey
Phone Number 2014350900
Fax Number 2014350911
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1033280367
Provider Enumeration Date 2006-11-10
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1637 John F Kennedy Blvd
City Jersey City
State New Jersey (NJ)
Post Code 73051865
Phone Number 2014350900
Fax Number 2014350911

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 38MC00454600
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

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FAQs about Stacey Barbossa

What is the unique 10-digit identifier code assigned to Stacey Barbossa by the Centers for Medicare & Medicaid Services?

The Stacey Barbossa has been issued the NPI (National Provider Identifier) 1033280367 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Stacey Barbossa?

The Stacey Barbossa is situated at 1637 John F Kennedy Blvd, in the city of Jersey City, state of NJ, with the zip code 73051865.

What is Stacey Barbossa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Stacey Barbossa is Sports Physician, and the taxonomy code that classifies this field of practice is 111Ns0005X.

On what date did the Stacey Barbossa receive the assignment of its 1033280367 from the Centers for Medicare & Medicaid Services?

The Stacey Barbossa was issued its 1033280367 by the Centers for Medicare & Medicaid Services on 2006-11-10.

As of what date were the details related to Stacey Barbossa most recently updated or revised?

The information pertaining to Stacey Barbossa, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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