Individual provider · Type 1 NPI
David Ross Tanner, DC
Chiropractor · Lincoln Park, NJ
NPI number
1629190723
Active
Practice location
212 Main St
Lincoln Park, NJ 07035-3700
Fax (973) 628-7742
Mailing address
17 Sunrise Way
Towaco, NJ 07082-1547
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | MCC 00228900 (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.
Another provider at this address
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About NPI 1629190723
David Ross Tanner, DC's National Provider Identifier is 1629190723, issued on Apr 6, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lincoln Park, NJ. The record was last updated on Jul 8, 2007.