Healthcare Provider Details

I. General information

NPI: 1467527614
Provider Name (Legal Business Name): RONALD G SCHILLER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 ROUTE 530
WHITING NJ
08759-3140
US

IV. Provider business mailing address

1229 JASAM CT
TOMS RIVER NJ
08755-1356
US

V. Phone/Fax

Practice location:
  • Phone: 732-350-2727
  • Fax: 732-350-6237
Mailing address:
  • Phone: 732-240-4810
  • Fax: 732-350-6237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number111N00000X-CHIROPRAC
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: