Mancini, Domenico

Mancini, Domenico is an individual health care provider with primary practice located at 1046 Mcbride Ave , West Paterson NJ 07424-2508. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mancini, Domenico can be contacted via phone (973) 890-0011.

Contact Information

Primary practice address
1046 Mcbride Ave West Paterson NJ 07424-2508
Fax: (973) 890-7505
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 38MC00525200 New Jersey

Profile Details

NPI number 1730288820
LBN Legal business name Mancini, Domenico
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 9th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730288820 NPPES
New Jersey MEDICAID 8758409

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