| Dr Ethan Gabriel Nahom, DC | |
|
405 N Main St, Glassboro, NJ 08028-1633 | |
| (856) 881-8811 | |
| (856) 881-9152 |
| Full Name | Dr Ethan Gabriel Nahom |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 405 N Main St, Glassboro, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871387662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00812500 (New Jersey) | Primary |
| Provider Name | Glassboro Chiropractic Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1285635003 PECOS PAC ID: 0143315382 Enrollment ID: O20071002000744 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ethan Gabriel Nahom, DC 405 N Main St, Glassboro, NJ 08028-1633 Ph: (856) 881-8811 | Dr Ethan Gabriel Nahom, DC 405 N Main St, Glassboro, NJ 08028-1633 Ph: (856) 881-8811 |
Glassboro Chiropractic Center Chiropractor Medicare: Medicare Enrolled Practice Location: 405 N Main St, Glassboro, NJ 08028 Phone: 856-881-8811 Fax: 856-881-9152 | |
Dr. Phillip Allen Sherman, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 405 N Main St, Glassboro, NJ 08028 Phone: 856-881-8811 Fax: 856-881-9152 | |
Dr. Irene Lane Sherman, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 405 N Main St, Glassboro, NJ 08028 Phone: 856-881-8811 Fax: 856-881-9152 |