Doctor Name: | DR. DIANA M LEDOUX |
NPI Number: | 1902173149 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DC |
License Number: | 38MC00177600 |
Business Practice Address: | 6717 Atlantic Ave Ventnor City, NJ - 084062621 |
Business Phone Number: | 6098221227 |
Business Fax Number: | 6098232806 |
Mailing Address: | 452 E Bay Ave, BARNEGAT |
State: | NJ |
Postal Code: | 080052473 |
Phone Number: | 7326004015 |
Fax Number: | 6096987622 |
NPI Enumeration Date: | 11/16/2011 |
NPI Last Update Date: | 11/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 38MC00177600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |