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KTSDCPC NPI 1912996778


NPI Information

NPI: 1912996778
Provider Name: KTSDC,PC

Doing Business As: LINCROFT CHIROPRACTIC & WELLNESS CENTER

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
641 NEWMAN SPRINGS RD
LINCROFT, NJ
ZIP 07738
Phone: (732) 933-4446
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KTSDC,PC is a chiropractor in Lincroft, NJ. The provider is 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 interrelationship with other body systems. KTSDC,PC NPI is 1912996778. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lincroft Chiropractic & Wellness Center.

The provider's business location address is:

641 NEWMAN SPRINGS RD
LINCROFT, NJ
ZIP 07738-721
Phone: (732) 933-4446
Fax: (732) 933-1622

The provider's authorized official is Kevin Thomas Schroeter .
The authorized official title is PRESIDENT OWNER DOCTORDoctor and has the following contact phone number (732) 933-4446.

The enumeration date for this NPI number is 10/14/2005 and was last updated on 4/6/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorMC00600500NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1089758MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEYMEDICARE GROUP #
20063924MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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