Provider Demographics
NPI:1124359070
Name:SOLLECITO, BARBARA A (DC)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:A
Last Name:SOLLECITO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 MAIN ST
Mailing Address - Street 2:SUITE 105A
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-4109
Mailing Address - Country:US
Mailing Address - Phone:732-865-2027
Mailing Address - Fax:
Practice Address - Street 1:154 MAIN ST
Practice Address - Street 2:SUITE 105A
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-4109
Practice Address - Country:US
Practice Address - Phone:732-865-2027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-15
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00407200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor