| Leo A. Staten Dc Llc | |
|
61 Morris Ave, Neptune City, NJ 07753-6426 | |
| (732) 456-6337 | |
| (973) 695-1933 |
| Full Name | Leo A. Staten Dc Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 61 Morris Ave, Neptune City, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407251218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00631300 (New Jersey) | Primary |
| Provider Name | Leo A Staten |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063563625 PECOS PAC ID: 8729043153 Enrollment ID: I20041126000016 |
| Mailing Address | Practice Location Address |
|---|---|
| Leo A. Staten Dc Llc Po Box 51, Ledgewood, NJ 07852-0051 Ph: (201) 874-9084 | Leo A. Staten Dc Llc 61 Morris Ave, Neptune City, NJ 07753-6426 Ph: (732) 456-6337 |
Dr. Leo Abram Staten, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 61 Morris Ave, Neptune City, NJ 07753 Phone: 201-874-9084 Fax: 973-695-1933 | |
Dr. Kimberly Irene Misner, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 185 West Sylvania Ave, Neptune City, NJ 07753 Phone: 732-775-5050 Fax: 732-774-7448 | |
John W. Crawford Jr., DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 108 W Sylvania Ave, Neptune City, NJ 07753 Phone: 732-774-1880 Fax: 732-774-9094 |