Individual
DR. BRIAN C SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
703 MILL CREEK RD STE C, MANAHAWKIN, NJ 08050-3828
(609) 597-3111
(609) 597-5112
Mailing address
703 MILL CREEK RD STE C, PO BOX 1051, MANAHAWKIN, NJ 08050-3828
(609) 597-3111
(609) 597-5112
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00410700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000732
PTAN
NJ
Enumeration date
07/17/2006
Last updated
03/08/2013
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