Healthcare Provider Details

I. General information

NPI: 1366762114
Provider Name (Legal Business Name): BRIANA JOY CLAUSS DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2010
Last Update Date: 06/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 BEECH ST APT 2H
HACKENSACK NJ
07601-2137
US

IV. Provider business mailing address

301 BEECH ST APT 2H
HACKENSACK NJ
07601-2137
US

V. Phone/Fax

Practice location:
  • Phone: 973-831-1100
  • Fax:
Mailing address:
  • Phone: 973-831-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00692200
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: