Provider Demographics
NPI:1417026337
Name:SMITH-TUMPEY, SHARON SUE (DC)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:SUE
Last Name:SMITH-TUMPEY
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 1:142 NATICK TRL
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-3933
Mailing Address - Country:US
Mailing Address - Phone:732-892-9151
Mailing Address - Fax:
Practice Address - Street 1:142 NATICK TRL
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3933
Practice Address - Country:US
Practice Address - Phone:732-892-9151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC04678111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU57139Medicare UPIN
NJSM783586Medicare ID - Type Unspecified