Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 0104555940 | VA |
Y | 111N00000X | Chiropractor | MC05944 | NJ |
NPI | 1972618148 |
---|---|
Provider Name | Dr. Joseph Kuna |
First Address | Forked River, NJ 08731-4322 |
Second Address | Forked River, NJ 08731-4322 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 16/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1037529 | ASH (01) | NJ |
5639924 | CIGNA (01) | NJ |