Charles M Dietrich, DC
Chiropractor in Keyport, New Jersey
1104985019- Practice location
- 250 Maple Place, Keyport, NJ 07735-1144
- Phone
- 732-264-8900
- Fax
- 732-264-0156
- Last updated
- July 8, 2007
Charles M Dietrich is a Chiropractor based in Keyport, NJ. Charles M Dietrich practices in Keyport, NJ and has the professional credentials of DC. The NPI Number for Charles M Dietrich is 1104985019 and holds a License No. 38MC00133800 (NJ). The current practice location address for Charles M Dietrich is 250 Maple Place, Keyport, NJ 07735-1144 and can be reached out via phone at 732-264-8900 and via fax at 732-264-0156.
Provider Profile Details
- NPI Number
- 1104985019
- Provider Name
- Charles M Dietrich
- Credential
- DC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 250 Maple Place, Keyport, NJ 07735-1144
- Phone Number
- 732-264-8900
- Fax Number
- 732-264-0156
- Primary Taxonomy
- Chiropractor · 111N00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 6, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 250 Maple Place
Keyport, NJ 07735-1144 - City
- Keyport
- State
- New Jersey
- Zip
- 07735-1144
- Phone Number
- 732-264-8900
- Fax Number
- 732-264-0156
Provider Business Mailing Address Details
- Address
- 250 Maple Place
Keyport, NJ 07735-1144 - City
- Keyport
- State
- NJ
- Zip
- 07735-1144
- Phone Number
- 732-264-8900
- Fax Number
- 732-264-0156
License Information
- License Number
- 38MC00133800
- License State
- NJ
- Taxonomy
- Chiropractor · 111N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Chiropractors near Keyport, NJ
View all Chiropractors in Keyport →Frequently Asked Questions
What is the NPI number of Charles M Dietrich, DC?
The NPI number of Charles M Dietrich, DC is 1104985019. It was assigned on December 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Charles M Dietrich, DC?
Charles M Dietrich, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00133800.
Where does Charles M Dietrich, DC practice?
The practice location is 250 Maple Place, Keyport, NJ 07735-1144. The office can be reached at 732-264-8900 (phone) or 732-264-0156 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104985019 directly on the NPPES registry website.