| Dr Jacob Obiazo Emezua Jr, DC | |
|
205 E 5th St, Plainfield, NJ 07060-1852 | |
| (908) 322-8300 | |
| Not Available |
| Full Name | Dr Jacob Obiazo Emezua Jr |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 205 E 5th St, Plainfield, 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 |
|---|---|---|---|
| 1942039797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00806900 (New Jersey) | Primary |
| Provider Name | Sportsmed Pt Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841787645 PECOS PAC ID: 0749535805 Enrollment ID: O20180614001056 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Obiazo Emezua Jr, DC 937 Liberty Ave, Union, NJ 07083-6443 Ph: (201) 844-7686 | Dr Jacob Obiazo Emezua Jr, DC 205 E 5th St, Plainfield, NJ 07060-1852 Ph: (908) 322-8300 |
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