Individual provider · Type 1 NPI
Charles M. Dietrich, DC
Chiropractor · Keyport, NJ
NPI number
1104985019
Active
Practice location
250 Maple Place
Keyport, NJ 07735-1144
Fax (732) 264-0156
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 38MC00133800 (NJ) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2 other providers at this address
Other chiropractor providers in Keyport
About NPI 1104985019
Charles M. Dietrich, DC's National Provider Identifier is 1104985019, issued on Dec 6, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Keyport, NJ. The record was last updated on Jul 8, 2007.