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NPI Code Detail

MEDICARE: DR. MICHAEL SIMON HENDLEY DC

MEDICARE:  DR. MICHAEL SIMON HENDLEY  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor38MC00639900NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22724753000OTHERNJAMERIHEALTH
3010853392OTHERNJBLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1003914623
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL SIMON HENDLEY DC
Provider Business Mailing Address
First Line : 20 N ABERDEEN PL
Second Line :
City : ATLANTIC CITY
State : NJ
Zip : 08401-3302
Country : US
Telephone Number : 609-348-3319
Fax Number :
Provider Business Practice Location Address
First Line : 52 E NEW YORK AVE
Second Line :
City : SOMERS POINT
State : NJ
Zip : 08244-2380
Country : US
Telephone Number : 609-788-3539
Fax Number : 609-788-3582
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MICHAEL SIMON HENDLEY DC” Practice Location

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