Individual
TISHA A. COZART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
314 CHRIS GAUPP DR, SUITE 201, GALLOWAY, NJ 08205-4464
(609) 404-7797
(609) 404-7790
Mailing address
314 CHRIS GAUPP DR, SUITE 201, GALLOWAY, NJ 08205-4464
(609) 404-7797
(609) 404-7790
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
DC088762
PA
111NN0400X
Neurology Chiropractor
DC008762
PA
111NR0200X
Radiology Chiropractor
DC008762
PA
111NR0400X
Rehabilitation Chiropractor
Primary
DC008762
PA
111NS0005X
Sports Physician Chiropractor
DC008762
PA
111NT0100X
Thermography Chiropractor
DC008762
PA
111NX0100X
Occupational Health Chiropractor
DC008762
PA
111NX0800X
Orthopedic Chiropractor
DC008762
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055089WZ9
MEDICARE
PA
01
—
1030414
HEALTH ASSURANCE
PA
01
—
1354319
BLUE CROSS
PA
01
—
6235788-001
CIGNA
PA
Enumeration date
03/16/2007
Last updated
09/29/2012
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