Individual
DR. ERICK WALDEMAR HENDERIKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTOR DC
Contact information
Practice address
740 BROAD ST, HWY 35 S, SHREWSBURY, NJ 07702
(732) 530-7711
(732) 530-9708
Mailing address
PO BOX 7425, SHREWSBURY, NJ 07702-7425
(732) 530-7711
(732) 530-9708
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC3021
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1526308
—
NJ
Enumeration date
08/30/2006
Last updated
07/08/2007
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