Individual
DR. JODI NICHOLE DINNERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
16 LEIGH ST, STE 1C, CLINTON, NJ 08809-1412
(908) 238-1081
Mailing address
23 NORTHWOOD DR, PITTSTOWN, NJ 08867-5129
(908) 735-9355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC05797
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201073024
TAX ID
NJ
Enumeration date
06/27/2007
Last updated
01/03/2014
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