Healthcare Provider Details

I. General information

NPI: 1619977725
Provider Name (Legal Business Name): VALERIE J HUTCHISON-DANILUK D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VALERIE J.H. DANILUK D.C.

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 11/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 BRICK BLVD SUITE 107
BRICK NJ
08723-6097
US

IV. Provider business mailing address

503 BRICK BLVD SUITE 107
BRICK NJ
08723-6097
US

V. Phone/Fax

Practice location:
  • Phone: 732-920-2729
  • Fax: 732-262-8071
Mailing address:
  • Phone: 732-920-2729
  • Fax: 732-262-8071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00563100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: