MEDICARE: WINSTONE CHIROPRACTIC PA

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
1	111N00000X	Chiropractor	38MC00572100	NJ

General Provider Information

NPI Number	:	1457521981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WINSTONE CHIROPRACTIC PA

Provider Business Mailing Address
First Line	:	500 PIERMONT RD
Second Line	:	SUITE 304
City	:	CLOSTER
State	:	NJ
Zip	:	07624-2845
Country	:	US
Telephone Number	:	201-767-6775
Fax Number	:	201-767-0595

Provider Business Practice Location Address
First Line	:	500 PIERMONT RD
Second Line	:	SUITE 304
City	:	CLOSTER
State	:	NJ
Zip	:	07624-2845
Country	:	US
Telephone Number	:	201-767-6775
Fax Number	:	201-767-0595

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JASON CHARLES ROER
Credential	:	D.C.
Telephone Number	:	201-724-2074

Provider Enumeration Date	:	03/12/2008
Last Update Date	:	03/12/2008

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1407052517 — DR. KENNETH B SLOANE DDS
Practice Location Address:

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Directions to “WINSTONE CHIROPRACTIC PA ” Practice Location

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