Active NPIIndividual providerSole proprietor

Dr. Theodore B Siciliano, DC

Chiropractor in West Creek, New Jersey

NPI Number1912055500
Practice location
720 S Main St, West Creek, NJ 08092-3121
Fax
609-597-4481
Last updated
July 8, 2007

Theodore B Siciliano is a Chiropractor based in West Creek, NJ. Theodore B Siciliano practices in West Creek, NJ and has the professional credentials of DC. The NPI Number for Theodore B Siciliano is 1912055500 and holds a License No. 38MC00170300 (NJ). The current practice location address for Theodore B Siciliano is 720 S Main St, West Creek, NJ 08092-3121 and can be reached out via phone at 609-597-9333 and via fax at 609-597-4481.

Provider Profile Details

NPI Number
1912055500
Provider Name
Theodore B Siciliano
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
720 S Main St, West Creek, NJ 08092-3121
Phone Number
609-597-9333
Fax Number
609-597-4481
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 8, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
720 S Main St
West Creek, NJ 08092-3121
Zip
08092-3121
Phone Number
609-597-9333
Fax Number
609-597-4481
West Creek, NJ 08092Get directions →

Provider Business Mailing Address Details

Address
720 S Main St
West Creek, NJ 08092-3121
City
West Creek
State
NJ
Zip
08092-3121
Phone Number
609-597-9333
Fax Number
609-597-4481

License Information

License Number (1)
38MC00170300
License State (1)
NJ
Taxonomy (1)
Chiropractor · 111N00000X · Primary
License Number (2)
X010479
License State (2)
NY
Taxonomy (2)
Chiropractor · 111N00000X

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 Dr. Theodore B Siciliano, DC?

The NPI number of Dr. Theodore B Siciliano, DC is 1912055500. It was assigned on January 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Theodore B Siciliano, DC?

Dr. Theodore B Siciliano, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00170300.

Where does Dr. Theodore B Siciliano, DC practice?

The practice location is 720 S Main St, West Creek, NJ 08092-3121. The office can be reached at 609-597-9333 (phone) or 609-597-4481 (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 1912055500 directly on the NPPES registry website.

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