Individual
DR. DAVID W IKEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
23659 COLUMBUS RD, SUITE 2A, COLUMBUS, NJ 08022-1979
(609) 298-7700
(609) 298-7724
Mailing address
23659 COLUMBUS RD, SUITE 2A, COLUMBUS, NJ 08022-1979
(609) 298-7700
(609) 298-7724
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00530400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0206318850
HORIZON BLUE CROSS/SHIELD
NJ
01
—
2269303000
AMERIHEALTH
NJ
01
—
3343106
AETNA
NJ
Enumeration date
09/21/2006
Last updated
07/08/2007
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