Individual
MR. STEVEN CHARLES POULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1049 SHORE ROAD, LINWOOD, NJ 08221
(609) 926-8200
(609) 926-6575
Mailing address
910 SECOND STREET, NORTHFIELD, NJ 08225
(609) 646-0034
(609) 926-6575
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00466600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023876
—
NJ
01
—
0782304000
AMERIHEALTH
NJ
01
—
60007194
HORIZON NJ HEALTH
NJ
Enumeration date
12/06/2006
Last updated
07/08/2007
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