Brian R Shade, DC
Chiropractor in Farmingdale, New Jersey
1154361632- Practice location
- 43 Main St, Farmingdale, NJ 07727-1326
- Phone
- 732-751-9500
- Fax
- —
- Last updated
- July 8, 2007
Brian R Shade is a Chiropractor based in Farmingdale, NJ. Brian R Shade practices in Farmingdale, NJ and has the professional credentials of DC. The NPI Number for Brian R Shade is 1154361632 and holds a License No. 38MC00554600 (NJ). The current practice location address for Brian R Shade is 43 Main St, Farmingdale, NJ 07727-1326 and can be reached out via phone at 732-751-9500.
Provider Profile Details
- NPI Number
- 1154361632
- Provider Name
- Brian R Shade
- Credential
- DC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 43 Main St, Farmingdale, NJ 07727-1326
- Phone Number
- 732-751-9500
- Primary Taxonomy
- Chiropractor · 111N00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 6, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 43 Main St
Farmingdale, NJ 07727-1326 - City
- Farmingdale
- State
- New Jersey
- Zip
- 07727-1326
- Phone Number
- 732-751-9500
Provider Business Mailing Address Details
- Address
- 43 Main St
Farmingdale, NJ 07727-1326 - City
- Farmingdale
- State
- NJ
- Zip
- 07727-1326
- Phone Number
- 732-751-9500
License Information
- License Number
- 38MC00554600
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Brian R Shade, DC?
The NPI number of Brian R Shade, DC is 1154361632. It was assigned on June 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Brian R Shade, DC?
Brian R Shade, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00554600.
Where does Brian R Shade, DC practice?
The practice location is 43 Main St, Farmingdale, NJ 07727-1326. The office can be reached at 732-751-9500 (phone).
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 1154361632 directly on the NPPES registry website.