Provider Demographics
NPI:1033131065
Name:SCHIPSKE, JOSEPH JOHN JR (DC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:JOHN
Last Name:SCHIPSKE
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6650 BROWNING ROAD
Mailing Address - Street 2:SUITE 012
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-1479
Mailing Address - Country:US
Mailing Address - Phone:856-663-4414
Mailing Address - Fax:856-486-9064
Practice Address - Street 1:6650 BROWNING ROAD
Practice Address - Street 2:SUITE 012
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08109-1479
Practice Address - Country:US
Practice Address - Phone:856-663-4414
Practice Address - Fax:856-486-9064
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00332500111N00000X
PADC003301L111N00000X
FLCH5395111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0110676000/010676GRPOtherAMERIHEALTH
1110761OtherHORIZON MERCY
0000514604OtherKEYSTONE HMO
0000514604OtherKEYSTONE HMO KEYCARE 6
949448OtherUS HEALTHCARE
NJP2939905OtherOXFORD
33308OtherUNION LABOR LIFE INSUR
520362OtherUNITED HEALTHCARE RAIL
0000520362OtherBLUE SHIELD OF WESTERN
520362OtherMEDICARE PRIMARY
0000514604OtherKEYSTONE
33308OtherOPERATING ENGINEERS
NJ5667526/2360862GRPOtherAETNA
NJ1488104Medicaid
5974547OtherAETNA
NJ5974547/0949448GRPOtherAETNA
NJ5667526/2360862GRPOtherAETNA