Corallo, Charles S
Corallo, Charles S is an sole proprietor health care provider with primary practice located at 191 Ramapo Valley Rd , Oakland NJ 07436-2509. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Corallo, Charles S can be contacted via phone (201) 651-0051.Contact Information
Primary practice address
191 Ramapo Valley Rd
Oakland NJ 07436-2509
Phone: (201) 651-0051
Fax: (201) 651-0064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | MC001845 | New Jersey |
Profile Details
| NPI number | 1689699753 |
|---|---|
| LBN Legal business name | Corallo, Charles S |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Nov 7th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689699753 | NPPES |
| New Jersey | MEDICAID | 6428509 |
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