Active NPIIndividual providerSole proprietor

Susan H Penczak, DC

Chiropractor in Wall Township, New Jersey

NPI Number1477584100
Practice location
2041 State Route 35, Wall Township, NJ 07719-3539
Fax
732-974-7023
Last updated
February 8, 2008

Susan H Penczak is a Chiropractor based in Wall Township, NJ. Susan H Penczak practices in Wall Township, NJ and has the professional credentials of DC. The NPI Number for Susan H Penczak is 1477584100 and holds a License No. 38MC00554100 (NJ). The current practice location address for Susan H Penczak is 2041 State Route 35, Wall Township, NJ 07719-3539 and can be reached out via phone at 732-974-7022 and via fax at 732-974-7023.

Provider Profile Details

NPI Number
1477584100
Provider Name
Susan H Penczak
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
2041 State Route 35, Wall Township, NJ 07719-3539
Phone Number
732-974-7022
Fax Number
732-974-7023
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 5, 2006
Last Update Date
February 8, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
2041 State Route 35
Wall Township, NJ 07719-3539
Zip
07719-3539
Phone Number
732-974-7022
Fax Number
732-974-7023
Wall Township, NJ 07719Get directions →

Provider Business Mailing Address Details

Address
2041 State Route 35
Wall Township, NJ 07719-3539
City
Wall Township
State
NJ
Zip
07719-3539
Phone Number
732-974-7022
Fax Number
732-974-7023

License Information

License Number
38MC00554100
License State
NJ
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Susan H Penczak, DC?

The NPI number of Susan H Penczak, DC is 1477584100. It was assigned on July 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Susan H Penczak, DC?

Susan H Penczak, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00554100.

Where does Susan H Penczak, DC practice?

The practice location is 2041 State Route 35, Wall Township, NJ 07719-3539. The office can be reached at 732-974-7022 (phone) or 732-974-7023 (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 1477584100 directly on the NPPES registry website.

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