Provider Demographics
NPI:1043545429
Name:SOKRATIS DRAGONAS, D.C. P.C.
Entity Type:Organization
Organization Name:SOKRATIS DRAGONAS, D.C. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SOKRATIS
Authorized Official - Middle Name:G
Authorized Official - Last Name:DRAGONAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-233-4200
Mailing Address - Street 1:134 S EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-5103
Mailing Address - Country:US
Mailing Address - Phone:908-233-4200
Mailing Address - Fax:908-301-0052
Practice Address - Street 1:134 S EUCLID AVE
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-5103
Practice Address - Country:US
Practice Address - Phone:908-233-4200
Practice Address - Fax:908-301-0052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00407500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU22463Medicare UPIN