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NPI Code Detail

MEDICARE: MRS. CHRISTINE L. PROBE DC

MEDICARE:  MRS. CHRISTINE L. PROBE  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
1111N00000XChiropractor38MC00263400NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1455870OTHERNJKEYSTONE IND.
20526304OTHERNJAETNA
31K0384OTHERNJHEALTHNET
4621921OTHERNJUNITED HEALTH CARE
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6P833467OTHERNJOXFORD
7223343095OTHERNJTAX ID
80105502000OTHERNJAMERIHEALTH

General Provider Information

NPI Number : 1386722635
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINE L. PROBE DC
Provider Business Mailing Address
First Line : 740 MANTUA PIKE
Second Line :
City : WOODBURY HEIGHTS
State : NJ
Zip : 08097-1149
Country : US
Telephone Number : 856-845-0360
Fax Number : 856-845-1881
Provider Business Practice Location Address
First Line : 740 MANTUA PIKE
Second Line :
City : WOODBURY HEIGHTS
State : NJ
Zip : 08097-1149
Country : US
Telephone Number : 856-845-0360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2006
Last Update Date : 02/07/2020

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Directions to “ MRS. CHRISTINE L. PROBE DC” Practice Location

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