Active NPIIndividual providerSole proprietor

Dr. Glen W Secor, DC

Chiropractor in Upper Saddle River, New Jersey

NPI Number1932259751
Practice location
42 Lake St, Upper Saddle River, NJ 07458-1851
Fax
201-934-8577
Last updated
March 1, 2010

Glen W Secor is a Chiropractor based in Upper Saddle River, NJ. Glen W Secor practices in Upper Saddle River, NJ and has the professional credentials of DC. The NPI Number for Glen W Secor is 1932259751 and holds a License No. 38mc00320500 (NJ). The current practice location address for Glen W Secor is 42 Lake St, Upper Saddle River, NJ 07458-1851 and can be reached out via phone at 201-934-8515 and via fax at 201-934-8577.

Provider Profile Details

NPI Number
1932259751
Provider Name
Glen W Secor
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
42 Lake St, Upper Saddle River, NJ 07458-1851
Phone Number
201-934-8515
Fax Number
201-934-8577
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 12, 2007
Last Update Date
March 1, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
42 Lake St
Upper Saddle River, NJ 07458-1851
Zip
07458-1851
Phone Number
201-934-8515
Fax Number
201-934-8577
Upper Saddle River, NJ 07458Get directions →

Provider Business Mailing Address Details

Address
42 Lake St
Upper Saddle River, NJ 07458-1851
City
Upper Saddle River
State
NJ
Zip
07458-1851
Phone Number
201-934-8515
Fax Number
201-934-8577

License Information

License Number
38mc00320500
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 Dr. Glen W Secor, DC?

The NPI number of Dr. Glen W Secor, DC is 1932259751. It was assigned on January 12, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Glen W Secor, DC?

Dr. Glen W Secor, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38mc00320500.

Where does Dr. Glen W Secor, DC practice?

The practice location is 42 Lake St, Upper Saddle River, NJ 07458-1851. The office can be reached at 201-934-8515 (phone) or 201-934-8577 (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 1932259751 directly on the NPPES registry website.

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