Healthcare Provider Details

I. General information

NPI: 1396750980
Provider Name (Legal Business Name): DOCTORS CARE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 07/17/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 N WOOD AVE
LINDEN NJ
07036-4039
US

IV. Provider business mailing address

901 N WOOD AVE
LINDEN NJ
07036-4039
US

V. Phone/Fax

Practice location:
  • Phone: 908-474-9444
  • Fax: 908-620-3744
Mailing address:
  • Phone: 908-474-9444
  • Fax: 908-620-3744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00475900
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number40QA01132800
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNJ

VIII. Authorized Official

Name: MRS. EILEEN M. MILLER
Title or Position: OFFICE MANAGER
Credential:
Phone: 908-474-9444