Doctor Name: | RICHARD TODD KIRSTEIN |
NPI Number: | 1992799373 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | MC 02778 |
Business Practice Address: | 630 S Brewster Rd Vineland, NJ - 083617801 |
Business Phone Number: | 8566929299 |
Business Fax Number: | 8566963870 |
Mailing Address: | 630 S Brewster Rd, Unit B2 VINELAND |
State: | NJ |
Postal Code: | 083617801 |
Phone Number: | 8566929299 |
Fax Number: | 8566963870 |
NPI Enumeration Date: | 08/31/2005 |
NPI Last Update Date: | 04/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/24/2006 |
NPI Reactivation Date: | 03/31/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | MC 02778 |
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. |