Individual
DR. MICHAEL L. HALLACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2764 RT 23 N, STOCKHOLM, NJ 07460
(973) 697-2800
(973) 697-7606
Mailing address
PO BOX 636, STOCKHOLM, NJ 07460-0636
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC00438
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201082651
IDA
NJ
05
—
6798802
—
NJ
Enumeration date
04/03/2007
Last updated
07/24/2007
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